{
  "hospital_name": "Hardin Memorial Hospital",
  "last_updated_on": "2025-01-22",
  "version": "2.2.0",
  "hospital_location": [
    "Hardin Memorial Hospital"
  ],
  "hospital_address": [
    "921 E Franklin St, Kenton, OH 43326"
  ],
  "license_information": {
    "license_number": "361315",
    "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 Fet Con ABN Afp4 Algorithm",
      "code_information": [
        {
          "code": "PX-30100114",
          "type": "CDM"
        },
        {
          "code": "81511",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 266,
          "discounted_cash": 172.9,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 256.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 252.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 90.44
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 82.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 256.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 82.46
            },
            {
              "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": 146.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 82.46,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 252.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 256.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "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": 234.08
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 82.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 260.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 252.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 252.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 153.5,
              "estimated_amount": 153.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 226.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 256.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 252.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 226.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 253.76
            },
            {
              "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": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 90.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 256.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 266
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 82.46,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 252.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 82.46
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 90.44
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 90.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 260.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 90.44
            },
            {
              "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": 172.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 260.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 252.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 82.46
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 256.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 226.1
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 226.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 252.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 252.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 252.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 82.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 256.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 82.46,
              "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": 97.8,
              "estimated_amount": 260.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 252.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 82.46
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 82.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 82.46
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 252.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 226.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 252.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 82.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 252.7
            }
          ],
          "minimum": 153.5,
          "maximum": 153.5
        }
      ]
    },
    {
      "description": "HC Analgesics Non-Opiod; 1 or 2",
      "code_information": [
        {
          "code": "PX-30100115",
          "type": "CDM"
        },
        {
          "code": "80329",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 76,
          "discounted_cash": 49.4,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 72.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 72.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 72.5
            },
            {
              "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": 76,
              "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": 96,
              "estimated_amount": 72.96
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 23.56
            },
            {
              "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 MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 23.56
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 72.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 72.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 73.34
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 23.56
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 72.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 23.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 25.84
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 25.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 72.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 72.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 72.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 72.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 25.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 72.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 76,
              "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": 95.4,
              "estimated_amount": 72.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 73.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 72.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 72.58
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 72.96
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 72.2
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 23.56
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 72.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 72.2
            },
            {
              "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": 95.4,
              "estimated_amount": 72.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 72.58
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 23.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 74.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 74.33
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 23.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 72.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 23.56
            },
            {
              "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": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 72.5
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 72.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 74.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 72.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 72.58
            },
            {
              "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": 41.8
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 72.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 72.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 76,
              "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": 95,
              "estimated_amount": 72.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 76,
              "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": 95,
              "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": 41.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 72.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 72.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 23.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 72.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 72.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 73.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 72.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 72.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 76,
              "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": 66.88
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 25.84
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 72.96
            },
            {
              "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": 49.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 73.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 72.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 76,
              "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": 67.4,
              "estimated_amount": 51.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 72.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 76,
              "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": 64.6
            },
            {
              "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": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 72.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 76,
              "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": 76,
              "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": 95,
              "estimated_amount": 72.2
            },
            {
              "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": "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": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 72.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 72.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 73.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 76,
              "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": 96,
              "estimated_amount": 72.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 72.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 72.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 72.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 73.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 73.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 76,
              "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": 97.8,
              "estimated_amount": 74.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 72.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 25.84
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 23.56
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 72.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Hepatic Function Panel",
      "code_information": [
        {
          "code": "PX-30100010",
          "type": "CDM"
        },
        {
          "code": "80076",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 38,
          "discounted_cash": 24.7,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 36.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 36.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 38,
              "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": 20.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.78
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.78
            },
            {
              "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": 95.4,
              "estimated_amount": 36.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 36.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 36.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "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": 38,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 36.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 36.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 36.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.78
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 36.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 36.67
            },
            {
              "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": 33.44
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 36.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.78
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32.3
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "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": 38,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.78
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32.3
            },
            {
              "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": 24.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 36.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 36.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 36.1
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 36.1
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 36.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.92
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 36.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 36.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 36.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.78
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 25.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 36.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 36.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 36.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.78,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 37.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 36.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 36.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 36.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 36.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 37.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 37.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 36.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 36.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.78,
              "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": 38,
              "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": 38,
              "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": 95.4,
              "estimated_amount": 36.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 36.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 36.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 37.16
            },
            {
              "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": 20.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 36.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 36.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 36.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.78,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.78
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 36.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 36.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.48
            },
            {
              "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": 38,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 36.1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 36.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 36.1
            }
          ]
        }
      ]
    },
    {
      "description": "HC Cyclosporine Level So",
      "code_information": [
        {
          "code": "PX-30100019",
          "type": "CDM"
        },
        {
          "code": "80158",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 53,
          "discounted_cash": 34.45,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43
            },
            {
              "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": 46.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 51.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 35.72
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43
            },
            {
              "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": 34.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 29.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 18.02
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "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": 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": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 18.02
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 53,
              "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": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 53,
              "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": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 51.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 29.15
            },
            {
              "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": 29.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 18.02
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 29.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 18.02
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "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": 53,
              "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": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.05
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "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": 53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 51.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 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": 29.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43
            },
            {
              "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": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 51.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 29.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 53
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 18.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43
            }
          ]
        }
      ]
    },
    {
      "description": "Ethosuximide Sendout",
      "code_information": [
        {
          "code": "PX-30100024",
          "type": "CDM"
        },
        {
          "code": "80168",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 162,
          "discounted_cash": 105.3,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 154.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 155.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 155.52
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 89.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 50.22,
              "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": 95.4,
              "estimated_amount": 154.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 156.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 156.33
            },
            {
              "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": 142.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 153.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 50.22
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 155.52
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 55.08
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 155.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 154.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 155.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 155.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 155.52
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 137.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 55.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 153.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 154.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 156.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 155.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 155.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 155.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 158.44
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 153.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 55.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 154.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 154.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 156.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 155.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 155.52
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 153.9
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 153.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 154.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 155.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 155.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 89.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 153.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 153.9
            },
            {
              "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": 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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 89.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 153.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 50.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 50.22
            },
            {
              "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": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 155.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 155.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 155.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 155.52
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 153.9
            },
            {
              "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": 162,
              "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": 96,
              "estimated_amount": 155.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 155.52
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 50.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 154.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 155.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 155.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 158.44
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 55.08
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 50.22,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 154.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 156.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 155.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 155.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 155.52
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 109.19
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 50.22
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 55.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 154.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 154.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 155.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 155.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 154.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 158.44
            },
            {
              "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": 162,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 155.52
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 153.9
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "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": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 154.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 155.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 155.52
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 50.22
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 50.22,
              "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": 137.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 158.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 153.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 153.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 50.22
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 154.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 50.22
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 162,
              "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": 162,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 154.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 154.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 154.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 156.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 155.52
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 50.22
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 155.52
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 153.9
            },
            {
              "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": "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 50.22
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 155.52
            },
            {
              "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": 162,
              "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": 95.4,
              "estimated_amount": 154.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 156.33
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 155.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 153.9
            },
            {
              "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": 162,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Infusion Therapy Sequential Drug Up to 1 Hr",
      "code_information": [
        {
          "code": "PX-26000005",
          "type": "CDM"
        },
        {
          "code": "96367",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 346,
          "discounted_cash": 224.9,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 330.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 330.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 330.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 330.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 346,
              "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": 346,
              "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": 96,
              "estimated_amount": 332.16
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 332.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 330.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 328.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 328.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 107.26
            },
            {
              "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": 346,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 330.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 330.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 330.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 330.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 333.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 330.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 330.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 330.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 333.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 330.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 330.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 346,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 107.26,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 328.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 190.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 328.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 117.64
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 294.1
            },
            {
              "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": 346,
              "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": 190.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 117.64
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 332.16
            },
            {
              "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": 346,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 330.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 346,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 117.64
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 117.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 333.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 330.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 346,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 107.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 333.89
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 107.26
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 294.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 346
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 190.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 328.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 328.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 107.26,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 107.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 333.89
            },
            {
              "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": 346,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 294.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 330.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 330.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 346,
              "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": 346,
              "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": 304.48
            },
            {
              "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": 95.4,
              "estimated_amount": 330.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 346,
              "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": 97.8,
              "estimated_amount": 338.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 328.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 328.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 294.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 332.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 338.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 107.26
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 294.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 107.26,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 107.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 333.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 346,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 107.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 190.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 294.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 117.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 330.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 346,
              "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": 346,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 332.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 330.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 346,
              "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": 346,
              "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": 95,
              "estimated_amount": 328.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 328.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 330.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 330.43
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 328.7
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 328.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 338.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 190.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 107.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 330.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 333.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 330.43
            },
            {
              "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": 224.9
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 233.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 332.16
            },
            {
              "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": 346,
              "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": 346,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 328.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 330.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 330.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 346,
              "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": 346,
              "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": 96,
              "estimated_amount": 332.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 338.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 190.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 328.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 330.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 346,
              "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": 346,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 107.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 190.3
            }
          ]
        }
      ]
    },
    {
      "description": "HC Neonate O2 for Oxyhood per 12hrs",
      "code_information": [
        {
          "code": "PX-27100010",
          "type": "CDM"
        },
        {
          "code": "27100010",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 95,
          "discounted_cash": 61.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 90.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 90.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 91.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 90.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 90.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 89.87
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 90.25
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 90.25
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 32.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 90.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 91.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 89.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 92.91
            },
            {
              "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 FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 92.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 90.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 32.3
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 32.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 91.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 90.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 91.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 89.87
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 91.2
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 52.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 90.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 91.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 91.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 90.63
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 91.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 90.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 90.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 89.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 89.87
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 90.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 90.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 90.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 90.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 89.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 89.87
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 90.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 90.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 90.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 92.91
            },
            {
              "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": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 90.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 91.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 90.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 90.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 89.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 90.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 90.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 90.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 89.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 90.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 91.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 90.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 89.87
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 90.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 91.2
            },
            {
              "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": 61.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 91.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 90.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 90.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 89.87
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 64.03
            },
            {
              "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": "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 MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 32.3
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.45
            },
            {
              "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": 95.4,
              "estimated_amount": 90.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 90.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 90.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 89.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 89.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 91.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 89.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 89.87
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 80.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 90.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 90.63
            },
            {
              "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": 83.6
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 91.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 90.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 32.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 92.91
            },
            {
              "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 AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 90.63
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 80.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 90.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 90.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 89.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 89.87
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 90.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 90.63
            },
            {
              "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": 52.25
            }
          ]
        }
      ]
    },
    {
      "description": "HC Tube Gastrostomy",
      "code_information": [
        {
          "code": "PX-27200028",
          "type": "CDM"
        },
        {
          "code": "27200028",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 176,
          "discounted_cash": 114.4,
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            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 168.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 166.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 168.96
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 167.2
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 149.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 96.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 167.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 167.2
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
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              "standard_charge_percentage": 95.5,
              "estimated_amount": 168.08
            },
            {
              "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": 154.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 96.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 172.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 167.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
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              "standard_charge_percentage": 94.6,
              "estimated_amount": 166.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 169.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 169.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 168.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 166.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 166.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.56
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 167.2
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.56
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 59.84
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
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              "standard_charge_percentage": 95.5,
              "estimated_amount": 168.08
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 94.6,
              "estimated_amount": 166.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
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              "standard_charge_percentage": 94.6,
              "estimated_amount": 166.5
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 167.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 172.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 96.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 167.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 168.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 169.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 168.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
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              "standard_charge_percentage": 94.6,
              "estimated_amount": 166.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 168.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 59.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 149.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 96.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 59.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 149.6
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 168.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 168.08
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 118.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 96.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.56
            },
            {
              "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": 114.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 168.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 168.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 166.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 169.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 166.5
            },
            {
              "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": 96.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 96.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 167.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 59.84
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 167.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 167.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 169.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 169.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 168.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 166.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 176
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 167.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 166.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 172.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 166.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 166.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 168.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 167.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.56
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 59.84
            },
            {
              "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": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 169.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 166.5
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 168.96
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 167.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 172.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 167.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 149.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 168.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 166.5
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.56
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 149.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 168.08
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 166.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 166.5
            }
          ]
        }
      ]
    },
    {
      "description": "Nutritional Boost Strawberry 8oz",
      "code_information": [
        {
          "code": "PX-CH-BUR-67638",
          "type": "CDM"
        },
        {
          "code": "B4150",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.62,
          "discounted_cash": 1.7,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.52
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.52
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.5
            },
            {
              "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": 95.4,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 96,
              "estimated_amount": 2.52
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.62,
              "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": 2.62,
              "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": 67.4,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.62,
              "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": 2.62,
              "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": 2.62,
              "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": 2.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 1.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 2.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.62,
              "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": 2.62,
              "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": 2.62,
              "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": 2.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.62,
              "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": 2.62,
              "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": 2.62,
              "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": 95,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.62,
              "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": 2.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.62,
              "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": 95,
              "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": 97.8,
              "estimated_amount": 2.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.52
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.62,
              "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": 95,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "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": 2.62
            },
            {
              "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": 1.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 2.31
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.44
            },
            {
              "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": 1.7
            }
          ]
        }
      ]
    },
    {
      "description": "HC Hemostatic Surgicel",
      "code_information": [
        {
          "code": "PX-27200179",
          "type": "CDM"
        },
        {
          "code": "27200179",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 541,
          "discounted_cash": 351.65,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 516.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 522.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 522.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 516.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 516.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 511.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 513.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 513.95
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 183.94
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 519.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 516.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 516.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 511.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 529.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 513.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 513.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 513.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 519.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 297.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 513.95
            },
            {
              "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": 95.4,
              "estimated_amount": 516.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 522.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 522.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 511.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 511.79
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 513.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 297.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 167.71
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 167.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 516.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 522.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 516.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 511.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 541
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 513.95
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 167.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 516.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 516.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 516.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 511.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 511.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 511.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 511.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 511.79
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 167.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 513.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 167.71
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 183.94
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 459.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 297.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 297.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 297.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 513.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 516.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 516.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 522.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 511.79
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 519.36
            },
            {
              "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": 476.08
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 513.95
            },
            {
              "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": 297.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 167.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 516.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 516.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 511.79
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 364.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 516.11
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 167.71
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 519.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 529.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 167.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 516.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 516.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 516.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 516.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 511.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 511.79
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 513.95
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 459.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 297.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 183.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 516.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 516.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 516.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 516.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 516.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 511.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 511.79
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 459.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 183.94
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 459.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 519.36
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 513.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 519.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 529.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 183.94
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 459.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 516.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 522.07
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 167.71
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 167.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 511.79
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 519.36
            },
            {
              "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": 351.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 516.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 516.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 529.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 513.95
            }
          ]
        }
      ]
    },
    {
      "description": "Adaptor Low Pressure 1 3/4 in Sur Fit Natura",
      "code_information": [
        {
          "code": "PX-CH-CV4019-93",
          "type": "CDM"
        },
        {
          "code": "A4421",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8.9,
          "discounted_cash": 5.78,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.9,
              "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": 8.9,
              "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": 8.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.54
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.9,
              "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": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.9,
              "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": 4.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.9,
              "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": 96,
              "estimated_amount": 8.54
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.54
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.5
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.54
            },
            {
              "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": 4.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "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": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.9,
              "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": 8.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 8.9,
              "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": 96,
              "estimated_amount": 8.54
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 7.57
            },
            {
              "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": 5.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "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": 8.9,
              "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": 67.4,
              "estimated_amount": 6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.9,
              "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": 8.9,
              "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": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.9,
              "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": 8.9,
              "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": 8.9,
              "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": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.9,
              "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": 8.9,
              "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": 7.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 8.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            }
          ]
        }
      ]
    },
    {
      "description": "HC Tray Catheter Picc Midline Single Lumen",
      "code_information": [
        {
          "code": "PX-27200193",
          "type": "CDM"
        },
        {
          "code": "C1751",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 426,
          "discounted_cash": 276.9,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 406.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 406.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 411.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 406.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 404.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 404.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 132.06,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 408.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 406.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 426,
              "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": 426,
              "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": 97.8,
              "estimated_amount": 416.63
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 132.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 404.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 132.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 406.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 406.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 406.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 426,
              "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": 426,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 132.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 411.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 411.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 406.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 426,
              "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": 95,
              "estimated_amount": 404.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 234.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 404.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 404.7
            },
            {
              "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": "HUMANA [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": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 426,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 411.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 406.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 426,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 132.06
            },
            {
              "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": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 234.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 404.7
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 406.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 406.83
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 404.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 406.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 406.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 426,
              "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": 426,
              "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": 97.8,
              "estimated_amount": 416.63
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 144.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 406.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 426,
              "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": 426,
              "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": 374.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 416.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 416.63
            },
            {
              "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": 426,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 406.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 406.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 408.96
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 406.4
            },
            {
              "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": 234.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 132.06
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 132.06,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 144.84
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 408.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 144.84
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 144.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 426,
              "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": 426,
              "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": 96,
              "estimated_amount": 408.96
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 132.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 132.06
            },
            {
              "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": "MOLINA 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": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 406.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 406.4
            },
            {
              "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": 95.4,
              "estimated_amount": 406.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 411.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 426,
              "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": 95,
              "estimated_amount": 404.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 411.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 406.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 426,
              "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": 426,
              "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": 426,
              "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": 426,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 404.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 132.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 408.96
            },
            {
              "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": 426,
              "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": 426,
              "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": 234.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 404.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 404.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 132.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 406.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 406.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 411.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 406.83
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 408.96
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 287.12
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 404.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 406.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 406.83
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 408.96
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 362.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 406.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 406.4
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 132.06
            },
            {
              "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": 426,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 132.06,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 362.1
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 404.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 144.84
            }
          ]
        }
      ]
    },
    {
      "description": "Gloves Vinyl Powderfree Small",
      "code_information": [
        {
          "code": "PX-CH-MZMDS191074",
          "type": "CDM"
        },
        {
          "code": "A4927",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.06,
          "discounted_cash": 0.04,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.06,
              "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": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.06,
              "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": 0.06,
              "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": 0.06,
              "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": 0.06,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "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": 0.03
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 96.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "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": 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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "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": 95.5,
              "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": 0.06,
              "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": 96,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 97.8,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.06,
              "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": 0.06,
              "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": 95.5,
              "estimated_amount": 0.06
            },
            {
              "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": 0.06,
              "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": 0.06,
              "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": 97.8,
              "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": 0.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.02
            },
            {
              "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": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.06,
              "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": 97.8,
              "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": 0.03
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "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": 95.5,
              "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": 0.06,
              "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": 96,
              "estimated_amount": 0.06
            },
            {
              "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": 0.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 97.8,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.06,
              "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": 0.06,
              "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": 0.06,
              "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": 0.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.06,
              "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": 0.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.06,
              "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": 0.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "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": 95.5,
              "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": 0.06,
              "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": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.06
            }
          ]
        }
      ]
    },
    {
      "description": "Central Line Dressing Tray W/2% Chg",
      "code_information": [
        {
          "code": "PX-CH-AC262834",
          "type": "CDM"
        },
        {
          "code": "A4221",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 7.91,
          "discounted_cash": 5.14,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.91,
              "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": 7.91,
              "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": 7.91,
              "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": 96,
              "estimated_amount": 7.59
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.51
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 7.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.51
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 7.91,
              "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": 97.8,
              "estimated_amount": 7.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.91,
              "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": 96,
              "estimated_amount": 7.59
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.91,
              "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": 7.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.51
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.72
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.91,
              "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": 95,
              "estimated_amount": 7.51
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.55
            },
            {
              "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": 95.4,
              "estimated_amount": 7.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.91,
              "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": 95.4,
              "estimated_amount": 7.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.51
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 6.72
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.63
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.91,
              "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": 7.91,
              "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": 7.91,
              "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": 4.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.69
            },
            {
              "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": 5.14
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.74
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.55
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 5.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.55
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 95.4,
              "estimated_amount": 7.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.91,
              "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": 7.91,
              "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": 7.91,
              "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": 4.35
            },
            {
              "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": 4.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.51
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.51
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.91,
              "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": 6.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.35
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 11.05,
          "discounted_cash": 7.18,
          "payers_information": [
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.05,
              "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": 11.05,
              "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": 95,
              "estimated_amount": 10.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.54
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.39
            },
            {
              "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": 6.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.76
            },
            {
              "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": 7.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.54
            },
            {
              "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": 11.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.55
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.05,
              "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": 11.05,
              "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": 11.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10.81
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.05,
              "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": 11.05,
              "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": 96,
              "estimated_amount": 10.61
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 6.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.54
            },
            {
              "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": 95.4,
              "estimated_amount": 10.54
            },
            {
              "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": 9.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 9.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.05,
              "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": 67.4,
              "estimated_amount": 7.45
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.66
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.05,
              "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": 11.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 10.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.39
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 10.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 96.5,
              "estimated_amount": 10.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.05,
              "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": 11.05,
              "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": 11.05,
              "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": 11.05,
              "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": 9.39
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 10.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.05,
              "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": 11.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "Barrier Strips Paste 2 Oz",
      "code_information": [
        {
          "code": "PX-CH-CO2655",
          "type": "CDM"
        },
        {
          "code": "A4406",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.6,
          "discounted_cash": 1.04,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 1.6,
              "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": 1.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.54
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.5,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 1.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.53
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 1.54
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.5
            },
            {
              "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": 1.41
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.54
            },
            {
              "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": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.5,
              "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": 96,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.54
            },
            {
              "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": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.6,
              "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": 95,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 1.53
            },
            {
              "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": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 96,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.52
            },
            {
              "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 MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.56
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.54
            },
            {
              "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": 1.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.5,
              "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": 1.6,
              "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": 1.6,
              "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": 1.36
            },
            {
              "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": "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": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.53
            },
            {
              "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": "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 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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.5
            },
            {
              "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": "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.36
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.53
            },
            {
              "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": 95.4,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.54
            },
            {
              "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": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.6,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.53
            },
            {
              "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 OXFORD [625260]",
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.54
            }
          ]
        }
      ]
    },
    {
      "description": "HC Splint Ewho Rigid WO Jnts Custom",
      "code_information": [
        {
          "code": "PX-27400028",
          "type": "CDM"
        },
        {
          "code": "L3763",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2191,
          "discounted_cash": 1424.15,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2090.21
            },
            {
              "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": 95.4,
              "estimated_amount": 2090.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2090.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2090.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2092.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2191,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2103.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2142.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2081.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 744.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2090.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2191,
              "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": 2191
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1205.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2081.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 679.21
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 744.94
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 744.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2142.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1205.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2081.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2081.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2090.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2090.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2092.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2092.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2191,
              "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": 2191,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 679.21
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 679.21
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2081.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2090.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2090.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2090.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2114.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2114.32
            },
            {
              "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": 2191,
              "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": 1205.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1862.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 744.94
            },
            {
              "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": 1424.15
            },
            {
              "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": 2191,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1205.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2090.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2090.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2092.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2092.41
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 679.21
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2081.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2191,
              "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": 95.4,
              "estimated_amount": 2090.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2092.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2191,
              "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": 96,
              "estimated_amount": 2103.36
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2081.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2081.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 679.21
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1862.35
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 679.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2090.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2114.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2092.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2092.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2092.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2191,
              "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": 97.8,
              "estimated_amount": 2142.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2142.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2081.45
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2103.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2092.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2191,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 679.21,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2090.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2114.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2191,
              "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": 2191,
              "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": 95,
              "estimated_amount": 2081.45
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 679.21
            },
            {
              "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": 2191,
              "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": 1205.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 744.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2191,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 679.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1205.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2081.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 679.21
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 679.21,
              "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": 2191,
              "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": 2191,
              "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": 2191,
              "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": 96,
              "estimated_amount": 2103.36
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1862.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2090.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2090.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2191,
              "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": 2191,
              "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": 67.4,
              "estimated_amount": 1476.73
            },
            {
              "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": 2191,
              "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": 2191,
              "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": 1928.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 679.21
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2103.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2191,
              "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": 1862.35
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 679.21,
              "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": 1205.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2114.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2191,
              "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": 96,
              "estimated_amount": 2103.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2090.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2114.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2114.32
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2081.45
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1862.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2081.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2081.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1862.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2103.36
            }
          ]
        }
      ]
    },
    {
      "description": "Orthosis Ankle Foot W/Adj No Off the Shelf",
      "code_information": [
        {
          "code": "PX-27400036",
          "type": "CDM"
        },
        {
          "code": "L1930",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 810,
          "discounted_cash": 526.5,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 772.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 772.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 781.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 810,
              "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": 810,
              "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": 445.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 445.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 772.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 772.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 773.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 810,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 251.1
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 251.1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 792.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 445.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 445.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 688.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 251.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 275.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 688.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 251.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 781.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 781.65
            },
            {
              "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": 810,
              "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": 810,
              "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": 688.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 772.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 772.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 773.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 773.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 810,
              "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": 688.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 275.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 445.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 772.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 773.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 777.6
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 769.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 769.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 251.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 772.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 810,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 781.65
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 777.6
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 769.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 251.1
            },
            {
              "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": 810,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 792.18
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 769.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 777.6
            },
            {
              "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": 526.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 772.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 792.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 769.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 251.1
            },
            {
              "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": 810,
              "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": 95.4,
              "estimated_amount": 772.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 810,
              "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": 95,
              "estimated_amount": 769.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 769.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 688.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 772.74
            },
            {
              "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": 95.4,
              "estimated_amount": 772.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 781.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 810,
              "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": 810,
              "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": 810,
              "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": 67.4,
              "estimated_amount": 545.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 792.18
            },
            {
              "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": 445.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 769.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 769.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 275.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 688.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 772.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 773.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 773.55
            },
            {
              "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": 810,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 251.1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 275.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 781.65
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 251.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 772.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 772.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 773.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 810,
              "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": 810,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 777.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 769.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 769.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 772.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 772.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 810,
              "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": 96,
              "estimated_amount": 777.6
            },
            {
              "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": 712.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 810
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 445.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 769.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 769.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 275.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 773.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 773.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 810,
              "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": 96,
              "estimated_amount": 777.6
            },
            {
              "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": 810,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 251.1
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 810,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 772.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 781.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 773.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 810,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 251.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 777.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 810,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 251.1
            },
            {
              "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": 810,
              "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": 95,
              "estimated_amount": 769.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 251.1,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "Splint Wrist Hand Custom Custom",
      "code_information": [
        {
          "code": "PX-27400042",
          "type": "CDM"
        },
        {
          "code": "L3906",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1483,
          "discounted_cash": 963.95,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1414.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1414.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1431.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1416.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1483,
              "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": 1483,
              "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": 1483,
              "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": 1483,
              "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": 95.4,
              "estimated_amount": 1414.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1414.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1483,
              "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": 96,
              "estimated_amount": 1423.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 815.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1408.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1408.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1450.37
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 459.73
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1423.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1414.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1414.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1414.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1416.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1483,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 459.73,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1423.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1414.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1414.78
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 999.54
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1423.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 815.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1408.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1260.55
            },
            {
              "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": 1483,
              "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": 97.8,
              "estimated_amount": 1450.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1408.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 459.73
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 459.73
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 504.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1431.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1416.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1483,
              "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": 1260.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 815.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1408.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 504.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1431.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1483,
              "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": 95,
              "estimated_amount": 1408.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1260.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1414.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1416.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1416.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1483,
              "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": 95,
              "estimated_amount": 1408.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1260.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1414.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1431.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1483,
              "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": 815.65
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 459.73,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1416.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1416.27
            },
            {
              "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": 1483,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 459.73
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1408.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1414.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1416.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1483,
              "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": 1483,
              "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": 95,
              "estimated_amount": 1408.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 815.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1260.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 459.73
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1483,
              "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": 95.4,
              "estimated_amount": 1414.78
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 459.73
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1423.68
            },
            {
              "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": 1483,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 459.73
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1408.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1260.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1416.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1483,
              "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": 1483,
              "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": 1483,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1414.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1414.78
            },
            {
              "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": 815.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1431.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1483,
              "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": 1305.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1408.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 459.73
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1423.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1416.27
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 459.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1450.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1450.37
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1408.85
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 504.22
            },
            {
              "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": 963.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1423.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1483
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 815.65
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 459.73,
              "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": 95.4,
              "estimated_amount": 1414.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1431.1
            },
            {
              "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": 1483,
              "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": 1483,
              "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": 95,
              "estimated_amount": 1408.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1431.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1483,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 459.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1408.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 504.22
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 504.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1414.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1414.78
            }
          ]
        }
      ]
    },
    {
      "description": "Splint Dynamic Hand Wrist Custom",
      "code_information": [
        {
          "code": "PX-27400044",
          "type": "CDM"
        },
        {
          "code": "L3905",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2902,
          "discounted_cash": 1886.3,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2800.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2800.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2771.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1596.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 986.68
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2466.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 986.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2800.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2902,
              "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": 96,
              "estimated_amount": 2785.92
            },
            {
              "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": 1596.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2756.9
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 899.62,
              "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": 2902,
              "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": 2466.7
            },
            {
              "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": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2771.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2771.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2771.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2902,
              "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": 2902,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2785.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2800.43
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2756.9
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2756.9
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2466.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2838.16
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2756.9
            },
            {
              "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": 2902,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2771.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2756.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2756.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2756.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2466.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2785.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2800.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2771.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2771.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2902,
              "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": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2902,
              "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": 95,
              "estimated_amount": 2756.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2756.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 899.62
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 986.68
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2902,
              "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": 97.8,
              "estimated_amount": 2838.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2756.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 899.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2902,
              "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": 97.8,
              "estimated_amount": 2838.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1596.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2756.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 899.62
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2785.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2771.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2785.92
            },
            {
              "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": 2902,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2800.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2771.41
            },
            {
              "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": 2902,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 899.62
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 899.62
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 899.62
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2466.7
            },
            {
              "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": 2553.76
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2756.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2838.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2902,
              "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": 2902,
              "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": 67.4,
              "estimated_amount": 1955.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2785.92
            },
            {
              "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": 2902,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 899.62,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 899.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1596.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2902,
              "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": 2902,
              "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": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2771.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2902,
              "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": 2902,
              "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": 1596.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1596.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 899.62,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 986.68
            },
            {
              "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": 1886.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2902
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 899.62
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 899.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2902,
              "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": 2902,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2902,
              "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": 2902,
              "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": 2466.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1596.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2756.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 986.68
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2785.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2800.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2902,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 899.62
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2756.9
            }
          ]
        }
      ]
    },
    {
      "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": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 39.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 39.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 39.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 39.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 41,
              "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": 96,
              "estimated_amount": 39.36
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 12.71
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 38.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 12.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 39.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 39.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 39.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 39.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 39.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 12.71
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 39.36
            },
            {
              "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 TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 39.11
            },
            {
              "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": 95.4,
              "estimated_amount": 39.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 39.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 41,
              "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": 95,
              "estimated_amount": 38.95
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 13.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 39.11
            },
            {
              "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": 36.08
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 38.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 38.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 12.71
            },
            {
              "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": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 39.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 39.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 39.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 41,
              "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": 41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 39.16
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 38.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 13.94
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 39.36
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 12.71
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 13.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 41,
              "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": 95,
              "estimated_amount": 38.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 39.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 39.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 39.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 39.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 41,
              "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": 95.4,
              "estimated_amount": 39.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 39.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 39.57
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 38.95
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 40.1
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 13.94
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 38.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 40.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 40.1
            },
            {
              "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": "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": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 41,
              "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": 95,
              "estimated_amount": 38.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 38.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 39.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 41,
              "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": 95.4,
              "estimated_amount": 39.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 39.57
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 12.71
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 39.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 39.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 39.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 39.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 41,
              "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": 97.8,
              "estimated_amount": 40.1
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 38.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 38.95
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 13.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 38.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 39.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 39.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 41,
              "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": 26.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 39.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 12.71
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 39.36
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 38.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 39.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 39.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 39.16
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 12.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 39.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 41,
              "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": 67.4,
              "estimated_amount": 27.63
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 12.71
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 12.71
            }
          ]
        }
      ]
    },
    {
      "description": "Gauze Sponge Kerlix Amd Super 6 in X 6.75 in (1pk = 2 Ea)",
      "code_information": [
        {
          "code": "PX-CH-KN6662",
          "type": "CDM"
        },
        {
          "code": "A6223",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.83,
          "discounted_cash": 0.54,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.81
            },
            {
              "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": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.71
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.26,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.79
            },
            {
              "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 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": "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": "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": "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": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.79
            },
            {
              "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": 95.4,
              "estimated_amount": 0.79
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.79
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.5,
              "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": 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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.26,
              "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": 0.83,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.8
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.79
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.79
            },
            {
              "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": "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.46
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.26,
              "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": 97.8,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.79
            },
            {
              "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": "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": "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.79
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.79
            },
            {
              "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": "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.83,
              "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": 96,
              "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": 95.4,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.79
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.83,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Apligraf per Sq Cm",
      "code_information": [
        {
          "code": "PX-27800003",
          "type": "CDM"
        },
        {
          "code": "Q4101",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 94,
          "discounted_cash": 61.1,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 89.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 89.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 89.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 94,
              "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": 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": 94,
              "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": 51.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 79.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 89.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 89.77
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.14
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 51.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 79.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 90.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 51.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 89.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 31.96
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 79.9
            },
            {
              "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": 61.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 89.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 89.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.14,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 90.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 90.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 89.77
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 90.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 89.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.14
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 31.96
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 89.3
            },
            {
              "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": 94,
              "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": 51.7
            },
            {
              "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": 51.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 89.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 31.96
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 79.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 89.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 89.77
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 94,
              "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": 95,
              "estimated_amount": 89.3
            },
            {
              "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": 95.4,
              "estimated_amount": 89.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 89.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 89.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 89.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 94,
              "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": 94,
              "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": 51.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 89.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 89.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.14,
              "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": 96.5,
              "estimated_amount": 90.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 94,
              "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": 95,
              "estimated_amount": 89.3
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 79.9
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.14,
              "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": 94,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 89.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 94,
              "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": 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": 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": 82.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 89.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.14
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 89.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.14
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 90.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 89.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 90.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 90.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.14
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 90.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 51.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 89.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 89.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.14
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 31.96
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 94,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 90.71
            },
            {
              "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": 94,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 89.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 89.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 89.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 89.77
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 63.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 90.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 89.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 89.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 89.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 89.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 94,
              "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": 96,
              "estimated_amount": 90.24
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 89.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 89.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 90.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 89.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 96,
              "estimated_amount": 90.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 89.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 31.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 89.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 94,
              "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": 79.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 89.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.14
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 94,
          "payers_information": [
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 94,
              "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": 94,
              "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": 94,
              "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": 94,
              "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": 94,
              "additional_payer_notes": "SRD"
            }
          ]
        }
      ]
    },
    {
      "description": "Catheter Lubricath 12 Fr 5 Cc Coude",
      "code_information": [
        {
          "code": "PX-CH-BU0168L-12",
          "type": "CDM"
        },
        {
          "code": "A4340",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 25.04,
          "discounted_cash": 16.28,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 24.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.77
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.04,
              "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": 96,
              "estimated_amount": 24.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24.04
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 24.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.77
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.04,
              "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": 25.04,
              "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": 25.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.76
            },
            {
              "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": 22.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.91
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24.04
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.79
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.51
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.76,
              "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": 13.77
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.76
            },
            {
              "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": 95.4,
              "estimated_amount": 23.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.04,
              "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": 95,
              "estimated_amount": 23.79
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.89
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 25.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.04,
              "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": 25.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 24.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 25.04
            },
            {
              "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": 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": 95,
              "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": 13.77
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.04,
              "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": 21.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.04,
              "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": 25.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.04,
              "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": 13.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.79
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.76,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.16
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.79
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.51
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.91
            },
            {
              "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": 25.04,
              "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": 95,
              "estimated_amount": 23.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 24.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.79
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21.28
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.79
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.89
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.76,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.04,
              "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": 25.04,
              "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": 25.04,
              "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": 25.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.04,
              "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": 25.04,
              "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": 21.28
            }
          ]
        }
      ]
    },
    {
      "description": "HC Yttrium-90 Nonstranded per Source",
      "code_information": [
        {
          "code": "PX-27800045",
          "type": "CDM"
        },
        {
          "code": "C2616",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 56850,
          "discounted_cash": 36952.5,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 54234.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 54234.9
            },
            {
              "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": 95.4,
              "estimated_amount": 54234.9
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17623.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17623.5
            },
            {
              "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": 56850,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17623.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 54007.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 54007.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 54576
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 54234.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 31267.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17623.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 19329
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 19329
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 19329
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 31267.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 54007.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 19329
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 36952.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 54234.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 54234.9
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17623.5
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 54007.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 56850,
              "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": 56850,
              "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": 95,
              "estimated_amount": 54007.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 54007.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 19329
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 17623.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17623.5
            },
            {
              "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": 56850,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17623.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 54576
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 54234.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 54234.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 56850,
              "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": 56850,
              "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": 67.4,
              "estimated_amount": 38316.9
            },
            {
              "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": 50028
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 54007.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 54007.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 54007.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 48322.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 48322.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17623.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 54234.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 54860.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 54291.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 56850,
              "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": 56850,
              "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": 56850,
              "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": 95.4,
              "estimated_amount": 54234.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 56850,
              "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": 56850,
              "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": 95,
              "estimated_amount": 54007.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 55599.3
            },
            {
              "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": 56850,
              "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": 56850,
              "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": 96,
              "estimated_amount": 54576
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 17623.5,
              "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": 31267.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 31267.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17623.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 54234.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 54291.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 56850,
              "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": 48322.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 54234.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 54234.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 54860.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 54291.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 56850,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17623.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 48322.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 54007.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 54576
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 54234.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 54860.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 54860.25
            },
            {
              "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": 56850,
              "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": 31267.5
            },
            {
              "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": 56850,
              "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": 96.5,
              "estimated_amount": 54860.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 54860.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 54291.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 54291.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 54291.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 54576
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 54234.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 55599.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 56850
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 54860.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 54291.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 56850,
              "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": 31267.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 31267.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 54234.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 54234.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 54291.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 56850,
              "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": 56850,
              "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": 96,
              "estimated_amount": 54576
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 55599.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 54007.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 54007.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 17623.5,
              "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": 56850,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 54234.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 54291.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 56850,
              "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": 56850,
              "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": 48322.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 54291.75
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 54576
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 55599.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 54007.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 48322.5
            }
          ]
        }
      ]
    },
    {
      "description": "1 Pc Ctf Ext Wear Cvx Uro 3/4 in - 1 3/4 in Assura",
      "code_information": [
        {
          "code": "PX-CH-SW12433",
          "type": "CDM"
        },
        {
          "code": "A4393",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 12.02,
          "discounted_cash": 7.81,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.02,
              "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": 10.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.73
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.73
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.02,
              "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": 12.02,
              "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": 95,
              "estimated_amount": 11.42
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.22
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.02,
              "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": 12.02,
              "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": 95,
              "estimated_amount": 11.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.42
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.22
            },
            {
              "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": 95.4,
              "estimated_amount": 11.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.02,
              "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": 12.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.73
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 8.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.73
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.48
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.02,
              "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": 12.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.73
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.42
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 12.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.48
            },
            {
              "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": 6.61
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.48
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.73
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.42
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.02,
              "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": 12.02,
              "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": 96,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.09
            },
            {
              "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": 7.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.02,
              "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": 12.02,
              "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": 12.02,
              "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": 95.4,
              "estimated_amount": 11.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.42
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.42
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.48
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.02,
              "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": 95.4,
              "estimated_amount": 11.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.02,
              "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": 97.8,
              "estimated_amount": 11.76
            }
          ]
        }
      ]
    },
    {
      "description": "HC Blood Typing Rh D",
      "code_information": [
        {
          "code": "PX-30000006",
          "type": "CDM"
        },
        {
          "code": "86901",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 10,
          "discounted_cash": 6.5,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.1
            },
            {
              "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": 6.5
            },
            {
              "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": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "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 HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.54
            },
            {
              "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": "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": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9.78
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.4
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 10
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 10,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9.78
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "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": 8.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "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": 10,
              "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": 8.5
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 6.74
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9.78
            },
            {
              "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": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "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": 95.4,
              "estimated_amount": 9.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.5
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.5
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.5
            },
            {
              "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": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.6
            },
            {
              "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": 10,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.54
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.5
            },
            {
              "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"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Cell Count W Diff Body Fluid",
      "code_information": [
        {
          "code": "PX-30000030",
          "type": "CDM"
        },
        {
          "code": "89051",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 871,
          "discounted_cash": 566.15,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 830.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 830.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 831.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 831.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 836.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 836.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 836.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 851.84
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 827.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 830.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 840.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 840.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 831.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 831.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 836.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 836.16
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 587.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 827.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 827.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 479.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 296.14
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 270.01
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 836.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 830.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 830.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 830.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 830.93
            },
            {
              "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": 871,
              "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": 96,
              "estimated_amount": 836.16
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 270.01
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 270.01
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 740.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 830.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 836.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 827.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 827.45
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 836.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 836.16
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 270.01
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 871,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 270.01
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 827.45
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 740.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 851.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 479.05
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 270.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 836.16
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 270.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 836.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 836.16
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 827.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 851.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 827.45
            },
            {
              "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": 871,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 830.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 840.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 840.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 831.81
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 836.16
            },
            {
              "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": 766.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 840.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 836.16
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 270.01
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 296.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 270.01
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 740.35
            },
            {
              "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": 871,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 830.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 831.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 831.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 831.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 836.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 836.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 836.16
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 836.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 479.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 296.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 830.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 840.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 831.81
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 836.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 830.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 831.81
            },
            {
              "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": 479.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 296.14
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 270.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 836.16
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 270.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 827.45
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 740.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 827.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 827.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 851.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 871
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 479.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 479.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 827.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 270.01
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 270.01
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 296.14
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 740.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 830.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 830.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 836.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 836.16
            },
            {
              "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": 871,
              "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": 95.4,
              "estimated_amount": 830.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 836.16
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 740.35
            },
            {
              "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": 566.15
            },
            {
              "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": 871,
              "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": 95.4,
              "estimated_amount": 830.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 830.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 830.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 840.52
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 827.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 479.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 827.45
            }
          ]
        }
      ]
    },
    {
      "description": "Cyp2d6 Gene Analysis Common Variants Sendout",
      "code_information": [
        {
          "code": "PX-30100058",
          "type": "CDM"
        },
        {
          "code": "81226",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 807,
          "discounted_cash": 524.55,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 769.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 769.88
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 766.65
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 685.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 766.65
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 250.17
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 774.72
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 774.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 766.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 766.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 274.38
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 274.38
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 774.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 766.65
            },
            {
              "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": 95.4,
              "estimated_amount": 769.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 769.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 770.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 770.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 769.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 778.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 770.69
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 774.72
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 685.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 766.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 789.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 443.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 443.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 766.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 778.76
            },
            {
              "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": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 807
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 778.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 770.69
            },
            {
              "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 GEHA [625285]",
              "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": 67.4,
              "estimated_amount": 543.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 769.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 769.88
            },
            {
              "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": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 710.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 443.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 250.17
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 274.38
            },
            {
              "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": 524.55
            },
            {
              "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 UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 789.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 766.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 685.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 685.95
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 274.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 769.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 778.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 770.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 770.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 250.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 769.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 769.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 778.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 770.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 770.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 766.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 443.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 443.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 250.17
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 274.38
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 685.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 766.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 770.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 766.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 250.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 769.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 778.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 778.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 770.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 769.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "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": "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": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 250.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 769.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 769.88
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 250.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 789.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 789.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 443.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 766.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 774.72
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 774.72
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 766.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 769.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 769.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 769.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 769.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 250.17
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 250.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 250.17
            },
            {
              "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": 443.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 766.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 774.72
            }
          ],
          "minimum": 1690.91,
          "maximum": 1690.91
        }
      ]
    },
    {
      "description": "Absorption Dressing Exu-Dry 3 in X 4 In",
      "code_information": [
        {
          "code": "PX-CH-UN5999034",
          "type": "CDM"
        },
        {
          "code": "A6251",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.7,
          "discounted_cash": 1.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.7,
              "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": 2.7,
              "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": 97.8,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.57
            },
            {
              "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": 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": 2.7,
              "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": 96,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.58
            },
            {
              "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": 2.38
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.64
            },
            {
              "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": 95.4,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.7,
              "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": 95,
              "estimated_amount": 2.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.57
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 2.7,
              "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": 95.4,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.7,
              "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": 67.4,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.7,
              "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": 2.7,
              "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": 2.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 2.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.7,
              "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": 2.7,
              "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": 95,
              "estimated_amount": 2.57
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 1.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.49
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 2.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.7,
              "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": 1.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 2.57
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.7,
              "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": 2.7,
              "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": 95,
              "estimated_amount": 2.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 1.49
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.57
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 2.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.7,
              "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": 2.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.49
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.92
            }
          ]
        }
      ]
    },
    {
      "description": "Microsatellite Instability Markers for Mismatch Repair Deficiency Sendout",
      "code_information": [
        {
          "code": "PX-30100087",
          "type": "CDM"
        },
        {
          "code": "81301",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3824,
          "discounted_cash": 2485.6,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3648.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3648.1
            },
            {
              "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": 2485.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3648.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3648.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3690.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3690.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1307.1,
              "estimated_amount": 1307.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2103.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3632.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1185.44
            },
            {
              "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": 3824,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1300.16
            },
            {
              "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": 95.4,
              "estimated_amount": 3648.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3648.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3648.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3651.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1307.1,
              "estimated_amount": 1307.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3648.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3690.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3651.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3651.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3651.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1307.1,
              "estimated_amount": 1307.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1307.1,
              "estimated_amount": 1307.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1307.1,
              "estimated_amount": 1307.1
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 2577.38
            },
            {
              "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": 3824,
              "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": 95,
              "estimated_amount": 3632.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2103.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3632.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1185.44
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1300.16
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3632.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3250.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1185.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3648.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3651.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1307.1,
              "estimated_amount": 1307.1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1185.44
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3632.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3739.87
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3671.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3648.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3690.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1307.1,
              "estimated_amount": 1307.1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1185.44
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3824,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3648.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1307.1,
              "estimated_amount": 1307.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3739.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2103.2
            },
            {
              "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": 2103.2
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1185.44,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1185.44
            },
            {
              "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": 3824,
              "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": 97.8,
              "estimated_amount": 3739.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3632.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3250.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1307.1,
              "estimated_amount": 1307.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1307.1,
              "estimated_amount": 1307.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2103.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3632.8
            },
            {
              "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": 3824,
              "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": 95.4,
              "estimated_amount": 3648.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3671.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3671.04
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1185.44
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1185.44,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3632.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3648.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1307.1,
              "estimated_amount": 1307.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1307.1,
              "estimated_amount": 1307.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1307.1,
              "estimated_amount": 1307.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3632.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1185.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2103.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3632.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1185.44
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1300.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1307.1,
              "estimated_amount": 1307.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3739.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3632.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3632.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1300.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3690.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3690.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3651.92
            },
            {
              "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": 3365.12
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3632.8
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3250.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3250.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1307.1,
              "estimated_amount": 1307.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3671.04
            },
            {
              "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": 3824,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1185.44,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1300.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3632.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3250.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3648.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3648.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3651.92
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3671.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3648.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3648.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3690.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3651.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3651.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1307.1,
              "estimated_amount": 1307.1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1185.44
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3250.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2103.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3671.04
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3671.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3648.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3651.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1307.1,
              "estimated_amount": 1307.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3824
            }
          ],
          "minimum": 1307.1,
          "maximum": 1307.1
        }
      ]
    },
    {
      "description": "HC Hla Typing 1 Allele Hr So",
      "code_information": [
        {
          "code": "PX-30100104",
          "type": "CDM"
        },
        {
          "code": "81381",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 594,
          "discounted_cash": 386.1,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 566.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 566.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 573.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 573.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 570.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 570.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 570.24
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 184.14,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 326.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 326.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 326.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 566.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 570.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 570.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 570.24
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 184.14
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 564.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 564.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 184.14
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 169.9,
              "estimated_amount": 169.9
            },
            {
              "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": 386.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 564.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 184.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 566.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 570.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 570.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 570.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 570.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 201.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 580.93
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 184.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 504.9
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 184.14,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 184.14
            },
            {
              "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": 95.4,
              "estimated_amount": 566.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 573.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 570.24
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 564.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 580.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 580.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 326.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 184.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 566.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 570.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 570.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 570.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 570.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 570.24
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 184.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 326.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 564.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 564.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 566.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 566.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 573.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 570.24
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 184.14
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 504.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 201.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 570.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 566.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 566.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 573.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 570.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 570.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 566.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 566.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 570.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 570.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 570.24
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 564.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 594
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 564.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 504.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 570.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 570.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 564.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 201.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 573.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 566.68
            },
            {
              "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": 326.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 564.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 564.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 566.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 573.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 570.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 570.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 326.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 201.96
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 564.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 184.14
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 201.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 566.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 566.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 570.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 570.24
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 184.14
            },
            {
              "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": 522.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 566.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 570.24
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 564.3
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 504.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 564.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 504.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 570.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 566.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 570.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 580.93
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 184.14,
              "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": 96,
              "estimated_amount": 570.24
            }
          ],
          "minimum": 169.9,
          "maximum": 169.9
        }
      ]
    },
    {
      "description": "HC Albumin",
      "code_information": [
        {
          "code": "PX-30100122",
          "type": "CDM"
        },
        {
          "code": "82040",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 18,
          "discounted_cash": 11.7,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 17.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.58
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.58
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.58,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.9
            },
            {
              "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": 18,
              "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": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 18,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.58
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.12
            },
            {
              "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": 18,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.58,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.9
            },
            {
              "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": 18,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "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": 18,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 12.13
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 18,
              "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": 15.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 17.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.9
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "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": 9.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 17.6
            },
            {
              "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": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.58,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.3
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 17.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "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": 11.7
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.58
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.58
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.58
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.12
            }
          ]
        }
      ]
    },
    {
      "description": "Alpha-1 Antitrypsin Phenotype Sendout",
      "code_information": [
        {
          "code": "PX-30100130",
          "type": "CDM"
        },
        {
          "code": "82104",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 159,
          "discounted_cash": 103.35,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 151.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 54.23,
              "estimated_amount": 54.23
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 49.29
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 54.06
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 152.64
            },
            {
              "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": 159,
              "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": 95.4,
              "estimated_amount": 151.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 153.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 153.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 151.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 54.23,
              "estimated_amount": 54.23
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 49.29,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 54.06
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 152.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 151.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 54.23,
              "estimated_amount": 54.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 151.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 151.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 153.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 54.23,
              "estimated_amount": 54.23
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 152.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 155.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 49.29
            },
            {
              "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": "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": 95.4,
              "estimated_amount": 151.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 151.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 54.23,
              "estimated_amount": 54.23
            },
            {
              "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": 159,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 151.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 151.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 151.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 151.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 153.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 151.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 54.23,
              "estimated_amount": 54.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 54.23,
              "estimated_amount": 54.23
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 151.05
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 151.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 151.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 54.23,
              "estimated_amount": 54.23
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 107.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 155.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 151.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 49.29
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 155.5
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 87.45
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 151.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 49.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 151.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 54.23,
              "estimated_amount": 54.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 54.23,
              "estimated_amount": 54.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 54.23,
              "estimated_amount": 54.23
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 49.29
            },
            {
              "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": 159,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 152.64
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 135.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 151.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 151.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 153.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 54.23,
              "estimated_amount": 54.23
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 152.64
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 135.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 151.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 151.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 54.23,
              "estimated_amount": 54.23
            },
            {
              "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": 139.92
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 151.05
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 151.05
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 49.29,
              "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": 95,
              "estimated_amount": 151.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 151.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 54.06
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 49.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 151.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 155.5
            },
            {
              "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": "HUMANA [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": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 54.23,
              "estimated_amount": 54.23
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 152.64
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 159,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 151.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 151.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 54.23,
              "estimated_amount": 54.23
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 49.29
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 54.06
            },
            {
              "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": "UHC 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": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 151.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 54.23,
              "estimated_amount": 54.23
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 49.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 151.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 49.29
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 151.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 151.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 151.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 54.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 151.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 151.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 151.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 153.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 151.85
            },
            {
              "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": 87.45
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 49.29,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 49.29
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 152.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 151.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 153.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 151.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 54.23,
              "estimated_amount": 54.23
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 151.05
            }
          ],
          "minimum": 54.23,
          "maximum": 54.23
        }
      ]
    },
    {
      "description": "Alpha Fetoprotein Amniotic Fluid Sendout",
      "code_information": [
        {
          "code": "PX-30100132",
          "type": "CDM"
        },
        {
          "code": "82106",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 209,
          "discounted_cash": 135.85,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 199.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 199.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 198.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 199.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.75,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.75,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 200.64
            },
            {
              "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": 209,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 198.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 71.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.75,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.75,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.75,
              "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": 95.4,
              "estimated_amount": 199.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 199.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.75,
              "estimated_amount": 63.75
            },
            {
              "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": 183.92
            },
            {
              "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": 114.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 198.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 177.65
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 64.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 198.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 71.06
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 64.79,
              "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": 95.4,
              "estimated_amount": 199.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 199.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 199.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 201.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 201.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 201.69
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 64.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 114.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 114.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 198.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 64.79
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 177.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 199.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 199.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 199.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 199.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 64.79
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 140.87
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 198.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 199.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 199.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 201.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 201.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 201.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 199.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 199.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.75,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 64.79
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 64.79,
              "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": 209
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 114.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 114.95
            },
            {
              "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": 135.85
            },
            {
              "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": 209,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 204.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 198.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 199.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.75,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.75,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 177.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 198.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 64.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 199.39
            },
            {
              "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": 95.4,
              "estimated_amount": 199.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 199.6
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 198.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 199.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.75,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.75,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 200.64
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 64.79
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 71.06
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 200.64
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 200.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 198.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 199.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 199.39
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 177.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 114.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 177.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 198.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 71.06
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 200.64
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 209,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.75,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 199.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.75,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 64.79
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 209,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 64.79
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 71.06
            },
            {
              "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": 209,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.75,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.75,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.75,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 198.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 114.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 198.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 199.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 199.39
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 200.64
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 198.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 201.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 199.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 199.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.75,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 200.64
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 209,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 204.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 204.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 204.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 64.79
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 177.65
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 64.79,
              "additional_payer_notes": "OUTPATIENT"
            }
          ],
          "minimum": 63.75,
          "maximum": 63.75
        }
      ]
    },
    {
      "description": "Amphetamine or Methamphetamine Sendout",
      "code_information": [
        {
          "code": "PX-30100143",
          "type": "CDM"
        },
        {
          "code": "80324",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 105,
          "discounted_cash": 68.25,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 100.17
            },
            {
              "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": 95.4,
              "estimated_amount": 100.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 101.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 100.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 102.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 57.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 89.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 100.8
            },
            {
              "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": 105,
              "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": 105,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 100.8
            },
            {
              "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": 57.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 35.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 89.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 102.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 57.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 35.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 32.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 100.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 100.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 101.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 101.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 100.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 32.55,
              "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": 95.5,
              "estimated_amount": 100.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 35.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 89.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 99.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 32.55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 35.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 100.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 100.17
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 32.55
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 99.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 100.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 100.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 100.28
            },
            {
              "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": 92.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 100.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 101.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 100.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 70.77
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 99.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 57.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 99.75
            },
            {
              "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": 105,
              "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": 57.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 35.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 100.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 100.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 101.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 101.33
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 32.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 99.75
            },
            {
              "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": 105,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 100.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 100.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 100.28
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 32.55
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 99.75
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 99.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 100.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 100.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 100.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 102.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 99.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 100.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 105,
              "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": 57.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 99.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 32.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 32.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 99.75
            },
            {
              "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": 68.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 100.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 100.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 89.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 89.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 89.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 100.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 101.33
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 102.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 99.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 32.55,
              "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": 105,
              "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": 105
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 99.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 100.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 100.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 99.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 32.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 32.55
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 57.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 99.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 32.55
            }
          ]
        }
      ]
    },
    {
      "description": "HC Transfusion Fetal Intrauterine",
      "code_information": [
        {
          "code": "PX-39100002",
          "type": "CDM"
        },
        {
          "code": "36460",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 609,
          "discounted_cash": 395.85,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 580.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 580.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 580.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 587.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 581.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 609,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 188.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 609
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 578.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 578.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 517.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 581.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 609,
              "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": 334.95
            },
            {
              "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": 334.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 207.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 580.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 580.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 580.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 581.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 609,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 188.79
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 410.47
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 578.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 580.99
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 188.79
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 609,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 578.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 584.64
            },
            {
              "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": 609,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 595.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 580.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 587.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 581.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 609,
              "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": 96,
              "estimated_amount": 584.64
            },
            {
              "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": 95.4,
              "estimated_amount": 580.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 581.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 580.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 609,
              "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": 95,
              "estimated_amount": 578.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 595.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 188.79
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 188.79
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 517.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 580.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 609,
              "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": 609,
              "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": 95,
              "estimated_amount": 578.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 188.79
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 517.65
            },
            {
              "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": 609,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 580.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 581.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 581.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 609,
              "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": 609,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 188.79
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 535.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 580.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 580.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 587.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 581.6
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 188.79,
              "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": 334.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 188.79
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 207.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 595.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 578.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 578.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 609,
              "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": 334.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 578.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 188.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 580.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 587.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 587.69
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 609,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 580.99
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 595.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 581.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 609,
              "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": 609,
              "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": 609,
              "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": 609,
              "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": 96,
              "estimated_amount": 584.64
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 584.64
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 517.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 517.65
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 188.79,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 207.06
            },
            {
              "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": 609,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 580.99
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 517.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 578.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 188.79
            },
            {
              "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": 395.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 334.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 207.06
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 188.79,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 207.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 581.6
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 584.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 584.64
            },
            {
              "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": 609,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 587.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 609,
              "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": 609,
              "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": 95,
              "estimated_amount": 578.55
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 578.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 334.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 334.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 578.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 578.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 580.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 587.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 609,
              "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": 96,
              "estimated_amount": 584.64
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Pouch 2 1/4 in New Image Lock & Roll Closure",
      "code_information": [
        {
          "code": "PX-CH-HO18193",
          "type": "CDM"
        },
        {
          "code": "A4425",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.74,
          "discounted_cash": 1.78,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.62
            },
            {
              "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": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.64
            },
            {
              "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 OXFORD [625260]",
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.6
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.62
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.61
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 1.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.85
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "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": 97.8,
              "estimated_amount": 2.68
            },
            {
              "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": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.61
            },
            {
              "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": 2.41
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.93
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.63
            },
            {
              "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": 2.74,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.68
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 2.33
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.64
            },
            {
              "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": 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": 96.5,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "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": 2.74,
              "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": 2.74,
              "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": 96,
              "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": 2.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.61
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.68
            },
            {
              "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": 1.51
            },
            {
              "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 MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.61
            },
            {
              "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.62
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.5,
              "estimated_amount": 2.62
            },
            {
              "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": "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 HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "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": 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": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.61
            },
            {
              "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": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.68
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 1.68,
          "discounted_cash": 1.09,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.62
            },
            {
              "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 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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 97.8,
              "estimated_amount": 1.64
            },
            {
              "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": 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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 1.68
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "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
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 1.48
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.6
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.52
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 96,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.6
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.52,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 1.6
            },
            {
              "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": "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": "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": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.43
            },
            {
              "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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.62
            },
            {
              "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 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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.61
            },
            {
              "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": 1.68,
              "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": 97.8,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.64
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.6
            },
            {
              "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 NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "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": 97.8,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.62
            },
            {
              "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": "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": "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 ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.68,
              "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": 1.48
            },
            {
              "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": 95.4,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.6
            },
            {
              "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 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 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/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": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.52,
              "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": 97.8,
              "estimated_amount": 1.64
            },
            {
              "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": "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 MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.57
            },
            {
              "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": 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": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.52,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 1.43
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.52,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.6
            },
            {
              "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": 95.4,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.92
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.62
            },
            {
              "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": 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 NAVIGATE [625280]",
              "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": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.6
            },
            {
              "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.57
            },
            {
              "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": 1.68,
              "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": 95.4,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.52,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 96,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.52,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 96.5,
              "estimated_amount": 1.62
            },
            {
              "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": "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 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 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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.6
            },
            {
              "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": "BUCKEYE COMMUNITY 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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.43
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 2.24,
          "discounted_cash": 1.46,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.16
            },
            {
              "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": "BUCKEYE COMMUNITY 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": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.76
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95.4,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.24,
              "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": 1.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.23
            },
            {
              "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": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.19
            },
            {
              "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": "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 OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.14
            },
            {
              "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 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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.14
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.19
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69,
              "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": 1.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.14
            },
            {
              "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": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.14
            },
            {
              "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 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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.14
            },
            {
              "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": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.14
            },
            {
              "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/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 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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 1.9
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.14
            },
            {
              "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 NAVIGATE [625280]",
              "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": 95.5,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.14
            },
            {
              "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": 2.24,
              "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": 1.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 2.24,
              "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.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.76
            }
          ]
        }
      ]
    },
    {
      "description": "HC Calcium Total",
      "code_information": [
        {
          "code": "PX-30100165",
          "type": "CDM"
        },
        {
          "code": "82310",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 18,
          "discounted_cash": 11.7,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.1
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 17.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.1
            },
            {
              "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": 18,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.58
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.58
            },
            {
              "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": 18,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.58,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 18,
              "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": 18
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.58
            },
            {
              "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": 11.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 17.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "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": 18,
              "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": 9.9
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.58,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "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": 18,
              "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": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "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": 15.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 17.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.58
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.58,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            },
            {
              "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": 18,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 12.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.17
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.58
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.1
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 17.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.58
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.28
            }
          ]
        }
      ]
    },
    {
      "description": "HC Cea",
      "code_information": [
        {
          "code": "PX-30100172",
          "type": "CDM"
        },
        {
          "code": "82378",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 224,
          "discounted_cash": 145.6,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 213.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 213.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 213.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 213.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 71.1,
              "estimated_amount": 71.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 71.1,
              "estimated_amount": 71.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 219.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 212.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 69.44
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 76.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 213.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 216.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 71.1,
              "estimated_amount": 71.1
            },
            {
              "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": 224,
              "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": 95,
              "estimated_amount": 212.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 76.16
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 190.4
            },
            {
              "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": 145.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 219.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 123.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 212.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 212.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 69.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 213.7
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 69.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 215.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 213.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 213.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 216.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 71.1,
              "estimated_amount": 71.1
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 150.98
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 190.4
            },
            {
              "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": 123.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 212.8
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 69.44,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 76.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 224
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 212.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 212.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 213.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 213.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 213.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 71.1,
              "estimated_amount": 71.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 215.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 123.2
            },
            {
              "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": 224,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 213.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 213.92
            },
            {
              "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": 224,
              "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": 95.4,
              "estimated_amount": 213.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 71.1,
              "estimated_amount": 71.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 69.44
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 69.44
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 190.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 190.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 213.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 213.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 213.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 213.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 216.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 71.1,
              "estimated_amount": 71.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 71.1,
              "estimated_amount": 71.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 71.1,
              "estimated_amount": 71.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 71.1,
              "estimated_amount": 71.1
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 69.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 213.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 216.16
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 212.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 212.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 69.44
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 215.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 219.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 212.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 69.44
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 69.44,
              "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": 224,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 213.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 213.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 213.92
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 69.44
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 215.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 219.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 123.2
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 215.04
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 215.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 213.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 216.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 213.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 71.1,
              "estimated_amount": 71.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 215.04
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 212.8
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 190.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 213.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 71.1,
              "estimated_amount": 71.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 190.4
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 76.16
            },
            {
              "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": 224,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 216.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 71.1,
              "estimated_amount": 71.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 71.1,
              "estimated_amount": 71.1
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 69.44,
              "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": 95,
              "estimated_amount": 212.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 123.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 213.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 213.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 216.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 213.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 71.1,
              "estimated_amount": 71.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 71.1,
              "estimated_amount": 71.1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 69.44
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 224,
              "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": 197.12
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 212.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 212.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 71.1,
              "estimated_amount": 71.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 123.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 123.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 76.16
            }
          ],
          "minimum": 71.1,
          "maximum": 71.1
        }
      ]
    },
    {
      "description": "Chromium Sendout",
      "code_information": [
        {
          "code": "PX-30100192",
          "type": "CDM"
        },
        {
          "code": "82495",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 249,
          "discounted_cash": 161.85,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 237.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 237.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 237.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 239.04
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 84.66
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 236.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 77.19
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 239.04
            },
            {
              "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": 249,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 77.19,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 211.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 243.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 243.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 136.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 211.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 237.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 237.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 239.04
            },
            {
              "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": 249,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 77.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 237.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 239.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 239.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 243.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 243.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 136.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 77.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 249
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 136.95
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 77.19,
              "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": 249,
              "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": 95.4,
              "estimated_amount": 237.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 240.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 237.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 240.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 239.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 239.04
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 236.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 237.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 240.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 239.04
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 239.04
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 77.19
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 77.19,
              "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": 96,
              "estimated_amount": 239.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 236.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 236.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 77.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 239.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 239.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 239.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 239.04
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 249,
              "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": 95,
              "estimated_amount": 236.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 236.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 211.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 239.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 239.04
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 77.19
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 77.19
            },
            {
              "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": 249,
              "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": 219.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 237.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 240.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 239.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 239.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 239.04
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 236.55
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 211.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 77.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 136.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 136.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 236.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 237.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 239.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 236.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 236.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 84.66
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 84.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 239.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 239.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 239.04
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 167.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 239.04
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 236.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 237.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 237.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 237.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 240.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 239.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 239.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 239.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 239.04
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 211.65
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 84.66
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 249,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 77.19
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 84.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 237.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 77.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 240.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 239.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 239.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 239.04
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 239.04
            },
            {
              "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": 95.4,
              "estimated_amount": 237.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 237.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 240.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 239.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 239.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 236.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 236.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 211.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 237.55
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 236.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 136.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 136.95
            },
            {
              "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": 161.85
            }
          ]
        }
      ]
    },
    {
      "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": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 0.12
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.11
            },
            {
              "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": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.07
            },
            {
              "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": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.11
            },
            {
              "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": 0.12,
              "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": 96,
              "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": 95.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.12
            },
            {
              "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": "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.12,
              "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": 96,
              "estimated_amount": 0.12
            },
            {
              "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": 0.12,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.07
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.11
            },
            {
              "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.12,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.12
            },
            {
              "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 (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 0.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.12,
              "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": 95.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.11
            },
            {
              "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": "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/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 CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.12,
              "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": 0.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 0.07
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.11
            },
            {
              "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 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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.12
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.11
            },
            {
              "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": "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 [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.11
            },
            {
              "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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "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": 95.5,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.12
            }
          ]
        }
      ]
    },
    {
      "description": "HC Creatinine",
      "code_information": [
        {
          "code": "PX-30100208",
          "type": "CDM"
        },
        {
          "code": "82565",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 15,
          "discounted_cash": 9.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 14.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 14.67
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.31
            },
            {
              "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": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.25
            },
            {
              "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": 9.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 15,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.65
            },
            {
              "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": 13.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.75
            },
            {
              "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": 15,
              "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": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "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": 15,
              "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": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "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": 15,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 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": 8.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.1
            },
            {
              "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": 15,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 10.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 14.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 14.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.65,
              "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": 12.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 15,
              "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": 12.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.25
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.65
            }
          ]
        }
      ]
    },
    {
      "description": "HC Impella Right Side",
      "code_information": [
        {
          "code": "PX-27800213",
          "type": "CDM"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 48042,
          "discounted_cash": 31227.3,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45832.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45832.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45832.07
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45639.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45639.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14893.02
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 16334.28
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14893.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45639.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45639.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45639.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 46120.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 48042
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 26423.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 26423.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 16334.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45832.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 45880.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 45880.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 45447.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 45447.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 45447.73
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14893.02
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 46120.32
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45639.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 45447.73
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 40835.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 46985.08
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45639.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45639.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14893.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 46360.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 46360.53
            },
            {
              "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": 26423.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14893.02
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 16334.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45832.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45832.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 46360.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 45880.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 45447.73
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 32380.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45832.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45832.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 45880.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 45880.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45639.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 46120.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 46985.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14893.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45832.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45832.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 46360.53
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45639.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 16334.28
            },
            {
              "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": 31227.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45832.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 46360.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 45880.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 45447.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 45447.73
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14893.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45832.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 45880.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 45447.73
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14893.02
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 46120.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 26423.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45639.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 40835.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 45447.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 46985.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 26423.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45639.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45832.07
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45639.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45832.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 46985.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 45447.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 45447.73
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 40835.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45832.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45832.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 45880.11
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 46120.32
            },
            {
              "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": 42276.96
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 40835.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14893.02
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 46120.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45639.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 16334.28
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14893.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45832.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45832.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 46360.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 45447.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 45447.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 45447.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 45447.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 45447.73
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 46120.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 45880.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 45880.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 45447.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 26423.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 26423.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 40835.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 46360.53
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Ctf Ext Wear Up to 1 3/4 in Sur-Fit",
      "code_information": [
        {
          "code": "PX-CH-CV4131-67",
          "type": "CDM"
        },
        {
          "code": "A4409",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13.64,
          "discounted_cash": 8.87,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.64,
              "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": 13.64,
              "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": 12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.64
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.64,
              "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": 13.64,
              "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": 13.64,
              "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": 13.64,
              "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": 13.64,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23,
              "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": 13.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23,
              "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": 96,
              "estimated_amount": 13.09
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.64,
              "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": 13.64,
              "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": 13.64,
              "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": 13.64,
              "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": 11.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.64,
              "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": 13.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.5
            },
            {
              "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": 7.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.64,
              "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": 13.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.64
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.64
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.09
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.64,
              "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": 13.64,
              "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": 13.64,
              "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": 13.64,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "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": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.09
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 13.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.5,
              "estimated_amount": 13.03
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.64
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.03
            },
            {
              "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": 13.64,
              "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": 13.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.64,
              "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": 13.64,
              "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": 13.64,
              "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": 13.64,
              "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": 95,
              "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": 7.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.64
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23
            },
            {
              "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": 13.64,
              "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": 11.59
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23,
              "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": 95.5,
              "estimated_amount": 13.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.64,
              "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": 13.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.64
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 11.59
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.64,
              "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": 96,
              "estimated_amount": 13.09
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.09
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.09
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23,
              "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": 12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.64,
              "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": 13.64,
              "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": 13.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "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": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.64,
              "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": 96,
              "estimated_amount": 13.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.64
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.64
            },
            {
              "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": 7.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.64,
              "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": 13.64,
              "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": 13.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.64,
              "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": 13.64,
              "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": 96,
              "estimated_amount": 13.09
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.09
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23
            },
            {
              "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": 13.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.03
            }
          ]
        }
      ]
    },
    {
      "description": "1 Pc Ctf Std Wear Cvx 3/8-1 11/16 Sensura Mio",
      "code_information": [
        {
          "code": "PX-CH-CO16739",
          "type": "CDM"
        },
        {
          "code": "A4424",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8.53,
          "discounted_cash": 5.54,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.14
            },
            {
              "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": "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 NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.53,
              "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": 95,
              "estimated_amount": 8.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.15
            },
            {
              "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 OXFORD [625260]",
              "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 ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.23
            },
            {
              "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.64
            },
            {
              "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": 95.4,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.15
            },
            {
              "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.1
            },
            {
              "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 MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.64
            },
            {
              "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": 4.69
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.9
            },
            {
              "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": 8.53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.1
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.69
            },
            {
              "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": "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.1
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.15
            },
            {
              "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": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.14
            },
            {
              "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": 8.53,
              "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": 8.53,
              "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": 96,
              "estimated_amount": 8.19
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.64,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.9
            },
            {
              "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": 8.53,
              "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": 96,
              "estimated_amount": 8.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.23
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.1
            },
            {
              "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": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.15
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.19
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.1
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8.53,
              "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": 7.51
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.1
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.23
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.23
            },
            {
              "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": "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": "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": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.64,
              "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": 8.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.64,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.9
            }
          ]
        }
      ]
    },
    {
      "description": "HC Ph Blood Gas",
      "code_information": [
        {
          "code": "PX-30100252",
          "type": "CDM"
        },
        {
          "code": "82800",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 155,
          "discounted_cash": 100.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 147.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 148.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 148.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 41.25,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 148.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 151.59
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 52.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 148.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 148.8
            },
            {
              "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": 100.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 147.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 148.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 41.25,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 41.25,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 41.25,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 104.47
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 147.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 151.59
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 131.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 48.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 147.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 147.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 41.25,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 147.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 148.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 85.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 85.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 147.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 48.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 52.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 52.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 147.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 147.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 147.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 149.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 149.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 148.03
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 48.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 148.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 147.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 147.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 48.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 147.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 131.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 147.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 147.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 148.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 41.25,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 41.25,
              "estimated_amount": 41.25
            },
            {
              "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": 136.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 147.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 85.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 147.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 48.05
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 148.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 147.87
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 48.05
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 131.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 151.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 155
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 131.75
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 147.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 147.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 147.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 41.25,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 41.25,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 41.25,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 52.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 85.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 85.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 147.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 147.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 148.03
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 48.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 151.59
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 131.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 48.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 147.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 147.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 148.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 41.25,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 147.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 41.25,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 41.25,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 41.25,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 147.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 52.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 149.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 149.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 41.25,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 48.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 148.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 85.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 48.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 147.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 147.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 149.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 148.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 41.25,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 148.8
            },
            {
              "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": 95.4,
              "estimated_amount": 147.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 149.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 149.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 148.03
            },
            {
              "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": 85.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 147.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 41.25,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 147.25
            }
          ],
          "minimum": 41.25,
          "maximum": 41.25
        }
      ]
    },
    {
      "description": "HC Human Growth Hormone (Hgh)",
      "code_information": [
        {
          "code": "PX-30100273",
          "type": "CDM"
        },
        {
          "code": "83003",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 364,
          "discounted_cash": 236.6,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 347.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 347.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 351.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "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": 320.32
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 345.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 345.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 123.76
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 309.4
            },
            {
              "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": 364,
              "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": 95.4,
              "estimated_amount": 347.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "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": 364,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 123.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 345.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 347.26
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 112.84,
              "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": 309.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 309.4
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 123.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 200.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 309.4
            },
            {
              "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": 236.6
            },
            {
              "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": 364,
              "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": 95.4,
              "estimated_amount": 347.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 112.84
            },
            {
              "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": 200.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 345.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 345.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 112.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 364,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 112.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 351.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 351.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 200.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 355.99
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 364,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 347.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 347.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 347.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 200.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 200.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 345.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 123.76
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 112.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 347.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 351.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 345.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 347.26
            },
            {
              "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": 95.4,
              "estimated_amount": 347.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 351.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 112.84
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 309.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 355.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 345.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 112.84
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 112.84
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 345.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 355.99
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 112.84
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 351.26
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 345.8
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 345.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 364
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 355.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 345.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 347.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 347.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 347.26
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 345.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 345.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 347.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 123.76
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 200.2
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 112.84,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 347.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 351.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 245.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 347.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 347.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 349.44
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 112.84
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 112.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 309.4
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 112.84,
              "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": 364,
              "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": 200.2
            }
          ]
        }
      ]
    },
    {
      "description": "HC Hemoglobin Plasma",
      "code_information": [
        {
          "code": "PX-30100283",
          "type": "CDM"
        },
        {
          "code": "83051",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 314,
          "discounted_cash": 204.1,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 299.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 172.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 298.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 298.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 97.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.41,
              "estimated_amount": 27.41
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 97.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 301.44
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 298.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 172.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 301.44
            },
            {
              "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": 314,
              "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": 95,
              "estimated_amount": 298.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 266.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 97.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 303.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 299.87
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 298.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 299.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 299.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.41,
              "estimated_amount": 27.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 301.44
            },
            {
              "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": 276.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 307.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 307.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 172.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 106.76
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 298.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 97.34
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 301.44
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 97.34,
              "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": 95.4,
              "estimated_amount": 299.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 303.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 299.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.41,
              "estimated_amount": 27.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 298.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 301.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 299.56
            },
            {
              "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": 95.4,
              "estimated_amount": 299.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 299.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 299.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 299.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.41,
              "estimated_amount": 27.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 299.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 299.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 299.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 299.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 299.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.41,
              "estimated_amount": 27.41
            },
            {
              "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": 314,
              "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": 314,
              "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": 97.8,
              "estimated_amount": 307.09
            },
            {
              "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": 314,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 172.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 298.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 106.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 266.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 299.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 303.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 299.87
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 301.44
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 97.34,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 303.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.41,
              "estimated_amount": 27.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.41,
              "estimated_amount": 27.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.41,
              "estimated_amount": 27.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 299.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 299.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 299.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 303.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.41,
              "estimated_amount": 27.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.41,
              "estimated_amount": 27.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 301.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 172.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 266.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 314
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 172.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 298.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 106.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 303.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.41,
              "estimated_amount": 27.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.41,
              "estimated_amount": 27.41
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 97.34,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 299.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.41,
              "estimated_amount": 27.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.41,
              "estimated_amount": 27.41
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 97.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 299.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 307.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 299.87
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 97.34
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 211.64
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 298.3
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 298.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 299.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.41,
              "estimated_amount": 27.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.41,
              "estimated_amount": 27.41
            },
            {
              "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": 314,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 97.34
            },
            {
              "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": 204.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 266.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 299.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 303.01
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 314,
              "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": 266.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 299.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.41,
              "estimated_amount": 27.41
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 266.9
            },
            {
              "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": 172.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 298.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 97.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 97.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 97.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 298.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 106.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 299.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 298.3
            }
          ],
          "minimum": 27.41,
          "maximum": 27.41
        }
      ]
    },
    {
      "description": "HC 17-Hydroxycorticosteroid",
      "code_information": [
        {
          "code": "PX-30100290",
          "type": "CDM"
        },
        {
          "code": "83491",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 938,
          "discounted_cash": 609.7,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 894.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 905.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 895.79
            },
            {
              "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/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.13,
              "estimated_amount": 67.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 515.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 894.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 895.79
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 290.78
            },
            {
              "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": 825.44
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 900.48
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 797.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 917.36
            },
            {
              "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": 515.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 900.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 515.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 290.78
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 290.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 894.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 894.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 894.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.13,
              "estimated_amount": 67.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 515.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 797.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 917.36
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 290.78
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 318.92
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 797.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 905.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.13,
              "estimated_amount": 67.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.13,
              "estimated_amount": 67.13
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 891.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 917.36
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 318.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 894.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 894.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 895.79
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 900.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 894.85
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 290.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 891.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 318.92
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 318.92
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 318.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 891.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 894.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 894.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 905.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 895.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.13,
              "estimated_amount": 67.13
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 632.21
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 290.78
            },
            {
              "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": 95.4,
              "estimated_amount": 894.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 905.17
            },
            {
              "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": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.13,
              "estimated_amount": 67.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.13,
              "estimated_amount": 67.13
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 891.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 894.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 905.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 895.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 895.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.13,
              "estimated_amount": 67.13
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 900.48
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 891.1
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 797.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 917.36
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 290.78
            },
            {
              "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": 609.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 797.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 894.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 905.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 905.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 895.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 938
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 515.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 515.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 891.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 894.85
            },
            {
              "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 MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 290.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 894.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 895.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 895.79
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 290.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 891.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 891.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 894.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.13,
              "estimated_amount": 67.13
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 900.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 891.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 891.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 891.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 900.48
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 900.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 515.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 891.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 891.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 894.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 894.85
            },
            {
              "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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 891.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 895.79
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 290.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "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
            }
          ],
          "minimum": 67.13,
          "maximum": 67.13
        }
      ]
    },
    {
      "description": "Briefs Wings Choice Adult Medium",
      "code_information": [
        {
          "code": "PX-CH-KN60043DP",
          "type": "CDM"
        },
        {
          "code": "T4522",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.55,
          "discounted_cash": 0.36,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.55,
              "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": 0.55,
              "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": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.55,
              "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": 0.3
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "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": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "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": 0.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 0.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.55,
              "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": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.55,
              "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": 96,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.55,
              "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": 97.8,
              "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": 0.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.55,
              "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": 0.55,
              "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": 0.55,
              "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": 0.55,
              "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": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "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": 0.55,
              "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": 0.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.53
            },
            {
              "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": 0.55,
              "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": 0.55,
              "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": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 0.47
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.19
            },
            {
              "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": 0.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.55,
              "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": 96,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.55,
              "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": 0.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 97.8,
              "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": 0.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.53
            }
          ]
        }
      ]
    },
    {
      "description": "17-Hydroxyprogesterone Sendout",
      "code_information": [
        {
          "code": "PX-30100292",
          "type": "CDM"
        },
        {
          "code": "83498",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 63,
          "discounted_cash": 40.95,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.53
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 63,
              "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": 63,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 61.61
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 21.42
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 59.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 59.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 60.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 61.61
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 21.42
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 42.46
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 59.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.53
            },
            {
              "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 [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53.55
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 59.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 59.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.53
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 21.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60.1
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 59.85
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 59.85
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 60.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 34.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.53
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.53
            },
            {
              "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": 63,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 60.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 60.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 59.85
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.53,
              "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": 95.4,
              "estimated_amount": 60.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "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": 55.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 60.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 59.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 21.42
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 21.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 60.8
            },
            {
              "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": 34.65
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 59.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 59.85
            },
            {
              "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": 63,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 61.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 61.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 59.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.48
            },
            {
              "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": 40.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60.1
            },
            {
              "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": 63,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.53
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.53,
              "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": 34.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 59.85
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 60.8
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 59.85
            },
            {
              "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": 63,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "Lactoferrin Detection Sendout",
      "code_information": [
        {
          "code": "PX-30100308",
          "type": "CDM"
        },
        {
          "code": "83630",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 404,
          "discounted_cash": 262.6,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 385.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 389.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 385.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 385.42
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 125.24
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 383.8
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 383.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 383.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "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": "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": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 125.24
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 125.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 385.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 272.3
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 343.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 385.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "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": 222.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 383.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 125.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 125.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 137.36
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 383.8
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 125.24,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 125.24
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 137.36
            },
            {
              "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": "HUMANA [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": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 385.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "payer_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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 383.8
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 222.2
            },
            {
              "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": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 385.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 125.24
            },
            {
              "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": 404,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 137.36
            },
            {
              "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": "MOLINA 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": "UHC 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": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 389.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 383.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 137.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 385.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 389.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 389.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 385.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 125.24,
              "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": 97.8,
              "estimated_amount": 395.11
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 137.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 395.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 383.8
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 125.24,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 385.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 389.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 389.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 383.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 383.8
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 385.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 385.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 385.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 385.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 385.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 395.11
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 389.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "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": 404,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 385.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 404,
              "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": 355.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 125.24
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 383.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 395.11
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 385.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 385.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 387.84
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 125.24
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 383.8
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 383.8
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 125.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 383.8
            }
          ]
        }
      ]
    },
    {
      "description": "HC Cholesterol Ldl Direct",
      "code_information": [
        {
          "code": "PX-30100323",
          "type": "CDM"
        },
        {
          "code": "83721",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 114,
          "discounted_cash": 74.1,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 111.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 96.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 38.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 96.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 38.76
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "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": 114,
              "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": 114,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 111.49
            },
            {
              "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": 62.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 62.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 96.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 62.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 96.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 114,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "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": 100.32
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 62.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 38.76
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34,
              "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": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 114
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 96.9
            },
            {
              "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": 74.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 62.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "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": 114,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 62.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 62.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 38.76
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 38.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 111.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 114,
              "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": 114,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 111.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 76.84
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 96.9
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Potassium Urine",
      "code_information": [
        {
          "code": "PX-30100374",
          "type": "CDM"
        },
        {
          "code": "84133",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 99,
          "discounted_cash": 64.35,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 94.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 94.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 94.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 95.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.04
            },
            {
              "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": 99,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 94.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 96.82
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.69,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.69,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 94.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 94.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 96.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 94.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.69
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 33.66
            },
            {
              "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": 95.4,
              "estimated_amount": 94.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 95.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 95.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 94.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 94.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.69
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 33.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 96.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.69,
              "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": 87.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 94.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.69
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 94.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.69
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.69
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.04
            },
            {
              "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": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 94.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.04
            },
            {
              "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": 99,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 94.05
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 54.45
            },
            {
              "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": 64.35
            },
            {
              "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": 99,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 94.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 95.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 94.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 94.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 94.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 95.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 94.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 96.82
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 54.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.69
            },
            {
              "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": 54.45
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.69
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 54.45
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 94.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 95.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 54.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 33.66
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 94.05
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.04
            },
            {
              "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": 99,
              "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": 95.4,
              "estimated_amount": 94.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 94.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 95.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 66.73
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 99,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 33.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 94.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 94.05
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.69
            },
            {
              "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": 99,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 94.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.04
            },
            {
              "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": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 94.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 94.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 33.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 94.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 94.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 94.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 94.05
            }
          ]
        }
      ]
    },
    {
      "description": "HC Psa Free",
      "code_information": [
        {
          "code": "PX-30100383",
          "type": "CDM"
        },
        {
          "code": "84154",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 103,
          "discounted_cash": 66.95,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 98.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 98.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 99.4
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 31.93
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 103,
              "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": 95,
              "estimated_amount": 97.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 98.26
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 31.93,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 35.02
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 31.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 97.85
            },
            {
              "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": 103,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 98.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 31.93,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 97.85
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 100.73
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 97.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 99.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 97.85
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 35.02
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 98.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 98.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 99.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 31.93
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 97.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 98.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 31.93
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 35.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 98.26
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 69.42
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 31.93
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "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": 95,
              "estimated_amount": 97.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 31.93
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 97.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 31.93,
              "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": 103,
              "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": 95.4,
              "estimated_amount": 98.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 98.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 98.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 98.26
            },
            {
              "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": 95.4,
              "estimated_amount": 98.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 98.26
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 31.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 97.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 35.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 100.73
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 97.85
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 99.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 97.85
            },
            {
              "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": "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 31.93
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 99.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "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": 90.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 100.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "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": 103,
              "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": 66.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 98.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "payer_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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 97.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 31.93
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 35.02
            },
            {
              "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": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 103,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "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 [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 99.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 97.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 100.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 97.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 31.93
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 98.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 98.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 98.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 99.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 98.88
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 56.65
            }
          ]
        }
      ]
    },
    {
      "description": "HC Protein Electrophoresis Serum",
      "code_information": [
        {
          "code": "PX-30100388",
          "type": "CDM"
        },
        {
          "code": "84165",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 329,
          "discounted_cash": 213.85,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 317.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "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": "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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.99
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.99,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.99
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 312.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "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 HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.99
            },
            {
              "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": 329,
              "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": 95,
              "estimated_amount": 312.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 111.86
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 111.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 317.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 317.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.99
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 279.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 329,
              "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": 97.8,
              "estimated_amount": 321.76
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 111.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 312.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 317.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 221.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 312.55
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 321.76
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 312.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.99
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.99
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.99,
              "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": 95,
              "estimated_amount": 312.55
            },
            {
              "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": 213.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "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": 95.4,
              "estimated_amount": 313.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.99
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.99
            },
            {
              "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": 329,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 321.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 321.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 312.55
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.99,
              "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": 329,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 312.55
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 312.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "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": 180.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 317.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 312.55
            },
            {
              "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": "UHC 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": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 111.86
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 312.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 111.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 317.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 317.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 312.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 312.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "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": 289.52
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 312.55
            }
          ]
        }
      ]
    },
    {
      "description": "HC T3 Total",
      "code_information": [
        {
          "code": "PX-30100436",
          "type": "CDM"
        },
        {
          "code": "84480",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 85,
          "discounted_cash": 55.25,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 81.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 81.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 81.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 82.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 82.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 57.29
            },
            {
              "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": 85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 80.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 81.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.6
            },
            {
              "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": 85,
              "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": 97.8,
              "estimated_amount": 83.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 80.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 80.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.35
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 81.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 81.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 82.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 80.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 83.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 80.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 28.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 80.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 81.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 81.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 83.13
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 28.9
            },
            {
              "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": 85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 81.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 81.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 82.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 81.09
            },
            {
              "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": 95.4,
              "estimated_amount": 81.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 82.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 85,
              "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": 95,
              "estimated_amount": 80.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 80.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.35,
              "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": 96,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 80.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 81.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 81.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 80.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 80.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.35
            },
            {
              "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": 55.25
            },
            {
              "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": 85,
              "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": 95.4,
              "estimated_amount": 81.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.6
            },
            {
              "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": 74.8
            },
            {
              "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": 46.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 81.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 83.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 82.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.35
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 28.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 81.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 82.03
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 81.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 80.75
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 80.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 28.9
            },
            {
              "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": 85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 80.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 28.9
            }
          ]
        }
      ]
    },
    {
      "description": "\"Gauze Drsg Bordered 4\"\" X 4\"\" Reliamed\"",
      "code_information": [
        {
          "code": "PX-CH-ZGB44",
          "type": "CDM"
        },
        {
          "code": "A6219",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.77,
          "discounted_cash": 0.5,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.77,
              "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": 0.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.77,
              "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": 0.77,
              "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": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.77,
              "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": 0.77,
              "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": 0.42
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24,
              "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": 96,
              "estimated_amount": 0.74
            },
            {
              "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": 0.77,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.77,
              "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": 96,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.77,
              "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": 0.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.77,
              "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": 95,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.42
            },
            {
              "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": 0.77,
              "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": 95,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24,
              "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": 0.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.77
            },
            {
              "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": 0.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 96,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.77,
              "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": 95.4,
              "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": 0.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.77,
              "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": 0.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.77,
              "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": 0.77,
              "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": 0.77,
              "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": 0.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.42
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.26
            }
          ]
        }
      ]
    },
    {
      "description": "Underpad 23 in X 36 in Heavy Absorbancy Cardinal",
      "code_information": [
        {
          "code": "PX-CH-A1-HVY2336UPS",
          "type": "CDM"
        },
        {
          "code": "A4554",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.34,
          "discounted_cash": 0.22,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.32
            },
            {
              "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": "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.32
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.33
            },
            {
              "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/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": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.32
            },
            {
              "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 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 MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.34
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.32
            },
            {
              "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 NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.34,
              "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": 67.4,
              "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": 96.5,
              "estimated_amount": 0.33
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.32
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.34,
              "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": 96,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.33
            },
            {
              "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": 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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.32
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.19
            },
            {
              "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": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.19
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.32
            },
            {
              "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 GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95.4,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.29
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "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": 95.5,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.34,
              "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": 95,
              "estimated_amount": 0.32
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "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": 0.34,
              "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": 96,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.12
            }
          ]
        }
      ]
    },
    {
      "description": "HC Hcg Quantitative",
      "code_information": [
        {
          "code": "PX-30100459",
          "type": "CDM"
        },
        {
          "code": "84702",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 84,
          "discounted_cash": 54.6,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 79.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.14
            },
            {
              "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": 84,
              "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": 95,
              "estimated_amount": 79.8
            },
            {
              "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": 46.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.04
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.04
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 28.56
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 79.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 71.4
            },
            {
              "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": 95.4,
              "estimated_amount": 80.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 56.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 79.8
            },
            {
              "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": 84,
              "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": 46.2
            },
            {
              "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": 54.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 79.8
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.04
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 79.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "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": 84,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 79.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 28.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 28.56
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 79.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 71.4
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 28.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 81.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 81.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 71.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 46.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 46.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 79.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.04
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "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": 84,
              "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": 96.5,
              "estimated_amount": 81.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 79.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 82.15
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 82.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 79.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 81.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 46.2
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.04
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 28.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 79.8
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 71.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.14
            },
            {
              "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": 73.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 46.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 79.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 71.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 71.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 81.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 84
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 84,
              "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": 46.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.04
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.04,
              "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": 96.5,
              "estimated_amount": 81.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 84,
              "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": 97.8,
              "estimated_amount": 82.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 79.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 81.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 82.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.04
            }
          ]
        }
      ]
    },
    {
      "description": "HC Creatinine Other Source So",
      "code_information": [
        {
          "code": "PX-30101238",
          "type": "CDM"
        },
        {
          "code": "82570",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 62,
          "discounted_cash": 40.3,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 59.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 59.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 59.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "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": 62,
              "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": 95,
              "estimated_amount": 58.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 58.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 59.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 59.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 62,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 58.9
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 52.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 58.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 21.08
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 58.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.22
            },
            {
              "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": 40.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 34.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 58.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.22
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 52.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 59.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 59.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 52.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 62
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.22
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 52.7
            },
            {
              "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": 62,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 59.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 58.9
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 58.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 60.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 60.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 34.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 52.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 59.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 59.15
            },
            {
              "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": 95.4,
              "estimated_amount": 59.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 59.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 41.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "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": 54.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 58.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 58.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.22
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.22,
              "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": 97.8,
              "estimated_amount": 60.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 34.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 34.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 58.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.22
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 21.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 58.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 21.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 59.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 59.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.22
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 52.7
            },
            {
              "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": 34.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 59.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 59.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 59.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.22
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.22
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 59.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 58.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 21.08
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "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,
              "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": 96.5,
              "estimated_amount": 59.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.22,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 60.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 34.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 59.15
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 21.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 59.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "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": 62,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 58.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 59.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 59.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.22
            },
            {
              "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": 62,
              "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": 95.4,
              "estimated_amount": 59.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 59.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.22,
              "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": 34.1
            }
          ]
        }
      ]
    },
    {
      "description": "HC Lamotrigine Lamictal",
      "code_information": [
        {
          "code": "PX-30100516",
          "type": "CDM"
        },
        {
          "code": "80175",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 134,
          "discounted_cash": 87.1,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 127.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 129.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 129.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 128.64
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 41.54
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 41.54
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 127.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 127.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 127.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 129.31
            },
            {
              "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": 117.92
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 128.64
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 41.54
            },
            {
              "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": 87.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 127.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 41.54
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 128.64
            },
            {
              "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": 134,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 128.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 128.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 128.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 127.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 127.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 128.64
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 73.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 127.3
            },
            {
              "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 MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 113.9
            },
            {
              "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": 134,
              "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": 95.4,
              "estimated_amount": 127.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 127.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 127.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 128.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 128.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 128.64
            },
            {
              "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": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 73.7
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 41.54,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 127.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 127.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 128.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 128.64
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 41.54
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 134,
              "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": 95,
              "estimated_amount": 127.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 127.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 129.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 129.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 128.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 128.64
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 127.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 127.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 127.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 127.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 128.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 127.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 127.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 128.64
            },
            {
              "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": 73.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 45.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 128.64
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 41.54,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 128.64
            },
            {
              "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": 134,
              "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": 97.8,
              "estimated_amount": 131.05
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 41.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 127.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 41.54,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 45.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 45.56
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "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": 95.4,
              "estimated_amount": 127.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 128.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 128.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 128.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 128.64
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 127.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 129.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 128.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 128.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 128.64
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 90.32
            },
            {
              "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": 134,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "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": 96,
              "estimated_amount": 128.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 128.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 128.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 128.64
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 41.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 127.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 127.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 45.56
            },
            {
              "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": 134,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 127.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 128.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 128.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 128.64
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 41.54
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 45.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 131.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 131.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 131.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 41.54
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 41.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 127.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 127.84
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 127.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 127.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 129.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 128.64
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 127.3
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 128.64
            }
          ]
        }
      ]
    },
    {
      "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": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.16
            },
            {
              "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": 1.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.11
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.16
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69,
              "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": 95.4,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "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": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.75
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.11
            },
            {
              "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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.1
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.12
            },
            {
              "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": "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": "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.5,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.11
            },
            {
              "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": "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": "BUCKEYE COMMUNITY 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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.21,
              "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": 2.21,
              "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": 95,
              "estimated_amount": 2.1
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 96,
              "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": 97.8,
              "estimated_amount": 2.16
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.75
            },
            {
              "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": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.11
            },
            {
              "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": "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": "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": "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.11
            },
            {
              "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": "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": "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": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.16
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 1.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.12
            }
          ]
        }
      ]
    },
    {
      "description": "Catheter Lubricath 16 Fr 5 Cc",
      "code_information": [
        {
          "code": "PX-CH-BA0165L16",
          "type": "CDM"
        },
        {
          "code": "A4338",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 10.37,
          "discounted_cash": 6.74,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.37,
              "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": 97.8,
              "estimated_amount": 10.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.01
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.81
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.37,
              "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": 10.37,
              "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": 95,
              "estimated_amount": 9.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.37,
              "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": 10.37,
              "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": 95,
              "estimated_amount": 9.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 8.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.37,
              "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": 10.37,
              "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": 96,
              "estimated_amount": 9.96
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.89
            },
            {
              "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": 10.37,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 10.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.9
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 9.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.37,
              "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": 10.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.37,
              "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": 10.37,
              "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": 10.37,
              "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": 5.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.21,
              "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": 95,
              "estimated_amount": 9.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.37,
              "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": 10.37,
              "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": 5.7
            },
            {
              "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": 10.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.37,
              "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": 95.4,
              "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": 5.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.37,
              "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": 10.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 9.13
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.21,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.01
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 10.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.21,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.9
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.96
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 10.37,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.81
            }
          ]
        }
      ]
    },
    {
      "description": "HC Chromatography Qn Column Single So",
      "code_information": [
        {
          "code": "PX-30100623",
          "type": "CDM"
        },
        {
          "code": "82542",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 603,
          "discounted_cash": 391.95,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 575.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 575.26
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 186.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 575.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 575.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 603,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 572.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 572.85
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 205.02
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 512.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 186.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 572.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 331.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 186.93
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 186.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 575.26
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 186.93
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 186.93
            },
            {
              "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": 603,
              "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": 512.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 572.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 572.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 186.93,
              "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": 95.4,
              "estimated_amount": 575.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 581.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 581.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 603
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 186.93
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 572.85
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 186.93
            },
            {
              "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": 391.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 589.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 331.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 331.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 205.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 575.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 575.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 575.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 575.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 581.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 572.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 572.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 572.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 512.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 575.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 575.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 575.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 331.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 572.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 186.93,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 575.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 581.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 589.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 331.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 205.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 603,
              "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": 95.4,
              "estimated_amount": 575.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 575.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 581.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 406.42
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 512.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 572.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 572.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 512.55
            },
            {
              "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": 603,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 575.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 575.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 581.9
            },
            {
              "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": 530.64
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 186.93,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 572.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 589.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 331.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 186.93
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 512.55
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "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": 603,
              "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": 331.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 581.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 589.73
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 205.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 578.88
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 186.93
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 572.85
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 205.02
            },
            {
              "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": 603,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Pouch Sensura Mio Flex 50mm Closed End",
      "code_information": [
        {
          "code": "PX-CH-CO12213",
          "type": "CDM"
        },
        {
          "code": "A4419",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.4,
          "discounted_cash": 1.56,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.4,
              "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": 96,
              "estimated_amount": 2.3
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.4,
              "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": 2.4,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.29
            },
            {
              "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": 2.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.35
            },
            {
              "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": 1.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 96.5,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.4,
              "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": 95,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 2.04
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.4,
              "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": 96,
              "estimated_amount": 2.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.4,
              "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": 95,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.4,
              "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": 2.4,
              "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": 2.4,
              "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": 1.32
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.4,
              "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": 2.4,
              "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": 2.4,
              "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": 2.4,
              "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": 95.5,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.4,
              "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": 67.4,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.3
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.28
            },
            {
              "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": 95.4,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.3
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.4,
              "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": 2.4,
              "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": 1.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.4,
              "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": 97.8,
              "estimated_amount": 2.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 1.32
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.74
            }
          ]
        }
      ]
    },
    {
      "description": "\"Gauze Drsg Bordered 4\"\" X 10\"\" Reliamed\"",
      "code_information": [
        {
          "code": "PX-CH-ZGB410",
          "type": "CDM"
        },
        {
          "code": "A6219",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.89,
          "discounted_cash": 1.23,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 1.89,
              "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": 1.89,
              "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": 1.89,
              "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": 1.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.8
            },
            {
              "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": 1.89,
              "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": 95.4,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 1.04
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 97.8,
              "estimated_amount": 1.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.8
            },
            {
              "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": 95.4,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.89,
              "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": 95.4,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.8
            },
            {
              "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": 1.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.59,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 1.04
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.89
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.89,
              "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": 96,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.81
            },
            {
              "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": 1.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.89,
              "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": 1.89,
              "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": 95,
              "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": 1.04
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.59,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "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": 95.4,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.89,
              "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": 96,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.89,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 1.89,
              "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": 1.61
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95.5,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 1.89,
              "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": 1.89,
              "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": 1.04
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 1.61
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 1.27
            },
            {
              "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": 1.89,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.89,
              "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": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.59,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "Attachment Device Horizontal Drain",
      "code_information": [
        {
          "code": "PX-CH-HO9781",
          "type": "CDM"
        },
        {
          "code": "A5200",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13.11,
          "discounted_cash": 8.52,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.11,
              "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": 95,
              "estimated_amount": 12.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.11,
              "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": 13.11,
              "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": 97.8,
              "estimated_amount": 12.82
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.46
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.11,
              "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": 13.11,
              "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": 13.11,
              "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": 13.11,
              "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": 67.4,
              "estimated_amount": 8.84
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.52
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.45
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.11,
              "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": 96,
              "estimated_amount": 12.59
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.45
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.11,
              "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": 95,
              "estimated_amount": 12.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.14
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.46
            },
            {
              "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": 7.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.11,
              "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": 11.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.46
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.11,
              "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": 13.11,
              "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": 13.11,
              "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": 13.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.14
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.52
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 97.8,
              "estimated_amount": 12.82
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.11,
              "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": 13.11,
              "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": 95,
              "estimated_amount": 12.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 12.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 13.11
            },
            {
              "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": 11.54
            },
            {
              "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": 8.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.11,
              "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": 96,
              "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": 97.8,
              "estimated_amount": 12.82
            },
            {
              "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": 95.4,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.52
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.45
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.65
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.59
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.45
            }
          ]
        }
      ]
    },
    {
      "description": "Hand Sanitizer Isagel No-Rinse 4 Oz",
      "code_information": [
        {
          "code": "PX-CH-SW1644",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.34,
          "discounted_cash": 1.52,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.99
            },
            {
              "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": 1.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.8
            },
            {
              "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": 1.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.23
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.34,
              "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": 95,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.34,
              "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": 2.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.34,
              "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": 2.34,
              "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": 2.34,
              "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": 95,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "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": 96.5,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.34,
              "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": 2.06
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.34,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.34,
              "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": 2.34,
              "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": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.34,
              "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": 1.29
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.34,
              "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": 2.34,
              "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": 2.34,
              "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": 95,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 1.99
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.34,
              "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": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.99
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.34,
              "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": 2.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.8
            }
          ]
        }
      ]
    },
    {
      "description": "Macroprolactin Sendout",
      "code_information": [
        {
          "code": "PX-30100850",
          "type": "CDM"
        },
        {
          "code": "84146",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 254,
          "discounted_cash": 165.1,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 254,
              "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": 97.8,
              "estimated_amount": 248.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 139.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 241.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 215.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 215.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 139.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 241.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 241.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 86.36
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 241.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 245.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 245.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "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": 223.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 139.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 139.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 241.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 78.74
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 78.74
            },
            {
              "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": 254,
              "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": 215.9
            },
            {
              "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": 254,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 78.74
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 86.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 78.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 245.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 254,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 241.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 248.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 241.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 78.74
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 241.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 78.74,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "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": 254,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 248.41
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 78.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 78.74
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 78.74
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 241.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 78.74
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 215.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 241.3
            },
            {
              "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": 139.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 241.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 139.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 215.9
            },
            {
              "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": 165.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 241.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 171.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 245.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 245.11
            },
            {
              "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": 254,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 248.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 139.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 241.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 241.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 86.36
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 78.74,
              "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": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 86.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 245.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 78.74,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 86.36
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 215.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 245.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 254
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 78.74
            }
          ]
        }
      ]
    },
    {
      "description": "Foam Drsg Adhesive Biatain 4 in X 4 in Round",
      "code_information": [
        {
          "code": "PX-CH-CO3430",
          "type": "CDM"
        },
        {
          "code": "A6212",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.7,
          "discounted_cash": 3.05,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 4.7,
              "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": 4.7,
              "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": 4.14
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.7,
              "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": 4.7,
              "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": 2.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.7,
              "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": 4.7,
              "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": 95,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 4.7,
              "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": 4.7,
              "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": 4.7,
              "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": 95,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.46,
              "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": 2.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.51
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.51
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.6
            },
            {
              "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": 4.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.46,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.7,
              "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": 4.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.7,
              "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": 4.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.46,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.6
            },
            {
              "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": 2.59
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.7,
              "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": 95,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.49
            },
            {
              "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": 4.7,
              "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": 4.7,
              "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": 97.8,
              "estimated_amount": 4.6
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.7,
              "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": 95.4,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.59
            }
          ]
        }
      ]
    },
    {
      "description": "HC Testosterone Free So",
      "code_information": [
        {
          "code": "PX-30100888",
          "type": "CDM"
        },
        {
          "code": "84402",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 167,
          "discounted_cash": 108.55,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 159.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 159.49
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 158.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 163.33
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 159.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 158.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 158.65
            },
            {
              "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": 167,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 159.32
            },
            {
              "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": 95.4,
              "estimated_amount": 159.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.51,
              "estimated_amount": 95.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.51,
              "estimated_amount": 95.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 158.65
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 158.65
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 161.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.51,
              "estimated_amount": 95.51
            },
            {
              "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": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 91.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 158.65
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.77,
              "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": 95.5,
              "estimated_amount": 159.49
            },
            {
              "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": 146.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 159.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 159.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 159.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.51,
              "estimated_amount": 95.51
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 56.78
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.77
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 158.65
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 158.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 163.33
            },
            {
              "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": 167,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.51,
              "estimated_amount": 95.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.51,
              "estimated_amount": 95.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.51,
              "estimated_amount": 95.51
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 167,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.77
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 158.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 159.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 159.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 159.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 161.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 161.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.51,
              "estimated_amount": 95.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.51,
              "estimated_amount": 95.51
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.77
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.77
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 56.78
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 91.85
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 56.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 159.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 161.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 161.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 159.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.51,
              "estimated_amount": 95.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.51,
              "estimated_amount": 95.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.51,
              "estimated_amount": 95.51
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.77
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 167,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 141.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 163.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 158.65
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 159.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 159.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 161.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.51,
              "estimated_amount": 95.51
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.77
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 167,
              "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": 95,
              "estimated_amount": 158.65
            },
            {
              "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": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 159.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.51,
              "estimated_amount": 95.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.51,
              "estimated_amount": 95.51
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 56.78
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 159.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 159.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 159.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 159.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 159.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 163.33
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 141.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 158.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 158.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.77
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.77,
              "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": 95.4,
              "estimated_amount": 159.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 159.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 159.49
            },
            {
              "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": 108.55
            },
            {
              "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": 167,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.77
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 161.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.51,
              "estimated_amount": 95.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.51,
              "estimated_amount": 95.51
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.77,
              "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": 141.95
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 159.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 159.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 159.32
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 112.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 158.65
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 56.78
            }
          ],
          "minimum": 95.51,
          "maximum": 95.51
        }
      ]
    },
    {
      "description": "HC Complement Antigen Each Component",
      "code_information": [
        {
          "code": "PX-30200017",
          "type": "CDM"
        },
        {
          "code": "86160",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 71,
          "discounted_cash": 46.15,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 67.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 67.81
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 67.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 22.01
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 67.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 67.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 68.52
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 67.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 67.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 67.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 24.14
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 68.16
            },
            {
              "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": 39.05
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 22.01,
              "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": 95.4,
              "estimated_amount": 67.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 67.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 67.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 67.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 68.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45,
              "estimated_amount": 45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45,
              "estimated_amount": 45
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 69.44
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 67.45
            },
            {
              "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": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 67.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45,
              "estimated_amount": 45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45,
              "estimated_amount": 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": 71,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 68.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 67.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 22.01
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 68.16
            },
            {
              "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": 71,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 68.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45,
              "estimated_amount": 45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 67.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 69.44
            },
            {
              "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": 46.15
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 67.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 22.01
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 24.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 67.73
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 22.01
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 67.45
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 67.45
            },
            {
              "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": "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 [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 67.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 67.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 67.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45,
              "estimated_amount": 45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45,
              "estimated_amount": 45
            },
            {
              "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 OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 67.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 67.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 67.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 68.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 67.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45,
              "estimated_amount": 45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 68.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 67.45
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 22.01
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 24.14
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 68.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 67.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 67.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45,
              "estimated_amount": 45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45,
              "estimated_amount": 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": 71,
              "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": 71,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "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": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45,
              "estimated_amount": 45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45,
              "estimated_amount": 45
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "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": 62.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 97.8,
              "estimated_amount": 69.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45,
              "estimated_amount": 45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45,
              "estimated_amount": 45
            },
            {
              "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": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 67.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 68.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 67.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 67.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45,
              "estimated_amount": 45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 68.16
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 22.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 69.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 67.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 67.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 24.14
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 22.01,
              "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": 95.4,
              "estimated_amount": 67.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 68.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 68.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45,
              "estimated_amount": 45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45,
              "estimated_amount": 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": 71,
              "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": 71,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 22.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 67.81
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 22.01
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 22.01
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 68.16
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 67.45
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 22.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 67.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 67.81
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 67.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 22.01
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 24.14
            }
          ],
          "minimum": 45,
          "maximum": 45
        }
      ]
    },
    {
      "description": "HC Fluorescent Antibody Titer So",
      "code_information": [
        {
          "code": "PX-30200027",
          "type": "CDM"
        },
        {
          "code": "86256",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 254,
          "discounted_cash": 165.1,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "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": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 223.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 241.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 241.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 241.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 241.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 86.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 245.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 245.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 245.11
            },
            {
              "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/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 241.3
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 215.9
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 78.74,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 78.74
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 242.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 248.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 254
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 248.41
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 241.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 215.9
            },
            {
              "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": 165.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 139.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 241.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 78.74
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 78.74
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 241.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 242.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 139.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 86.36
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 86.36
            },
            {
              "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": 254,
              "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": 254,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 242.57
            },
            {
              "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": 254,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 78.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 245.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 242.57
            },
            {
              "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": 95,
              "estimated_amount": 241.3
            },
            {
              "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/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 139.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 241.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 241.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 78.74
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 78.74
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 139.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 242.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 139.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 78.74
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 241.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 242.57
            },
            {
              "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 78.74
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 241.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 248.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 254,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 78.74,
              "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": 95,
              "estimated_amount": 241.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 86.36
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 215.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 215.9
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 78.74,
              "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": 254,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 245.11
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 243.84
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 215.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 86.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 248.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 242.57
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 78.74
            },
            {
              "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": 95.4,
              "estimated_amount": 242.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 245.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 242.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 242.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 242.57
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 78.74
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 171.2
            },
            {
              "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": 254,
              "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": 139.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 139.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 215.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 245.11
            }
          ],
          "minimum": 45.19,
          "maximum": 45.19
        }
      ]
    },
    {
      "description": "HC Calcium Urine So",
      "code_information": [
        {
          "code": "PX-30101249",
          "type": "CDM"
        },
        {
          "code": "82340",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 115,
          "discounted_cash": 74.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 109.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 109.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 109.83
            },
            {
              "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 GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.61,
              "estimated_amount": 22.61
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 112.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 109.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 109.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 63.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 109.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 109.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 39.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 109.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 39.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 110.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 112.47
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 39.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 97.75
            },
            {
              "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": 115,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 109.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 109.71
            },
            {
              "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": 115,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.65
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 109.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.61,
              "estimated_amount": 22.61
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 77.51
            },
            {
              "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": 115,
              "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": 63.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 109.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 109.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.98
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.65
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 63.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 109.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 109.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 109.71
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 110.4
            },
            {
              "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": 95.4,
              "estimated_amount": 109.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 109.83
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 97.75
            },
            {
              "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": 115,
              "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": 95,
              "estimated_amount": 109.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 109.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 39.1
            },
            {
              "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": 101.2
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 109.25
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 110.4
            },
            {
              "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": 63.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.65
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 110.4
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 109.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 109.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.61,
              "estimated_amount": 22.61
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 110.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 109.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.65,
              "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": 97.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 110.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 109.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 109.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.61,
              "estimated_amount": 22.61
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 97.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 112.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 109.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 39.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 109.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 109.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 109.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 110.4
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 97.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 115
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 112.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.61,
              "estimated_amount": 22.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.61,
              "estimated_amount": 22.61
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 109.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 97.75
            },
            {
              "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": 115,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 109.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 109.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 109.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.61,
              "estimated_amount": 22.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 63.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 109.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 109.83
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 109.25
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 109.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 109.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 109.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "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": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.61,
              "estimated_amount": 22.61
            },
            {
              "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": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 115,
              "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": 63.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 63.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 109.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 109.83
            },
            {
              "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 TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.61,
              "estimated_amount": 22.61
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.65
            },
            {
              "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": 74.75
            }
          ],
          "minimum": 22.61,
          "maximum": 22.61
        }
      ]
    },
    {
      "description": "Intrinsic Factor Antibody Sendout",
      "code_information": [
        {
          "code": "PX-30200047",
          "type": "CDM"
        },
        {
          "code": "86340",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 69,
          "discounted_cash": 44.85,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 65.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 65.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 66.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56.55,
              "estimated_amount": 56.55
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 37.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 65.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 65.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 23.46
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 65.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 65.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 65.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56.55,
              "estimated_amount": 56.55
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 65.55
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 65.55
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.39,
              "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": 37.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 65.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 66.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 65.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56.55,
              "estimated_amount": 56.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 66.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 65.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 65.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 66.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 66.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 66.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 65.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56.55,
              "estimated_amount": 56.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 66.24
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 66.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 67.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 67.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 67.48
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.39
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.39,
              "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": 97.8,
              "estimated_amount": 67.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 23.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 65.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 65.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56.55,
              "estimated_amount": 56.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 65.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 65.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 65.83
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 46.51
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 58.65
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 65.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56.55,
              "estimated_amount": 56.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.39
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 66.24
            },
            {
              "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": 95.4,
              "estimated_amount": 65.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 65.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56.55,
              "estimated_amount": 56.55
            },
            {
              "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": 60.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 66.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 65.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 65.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56.55,
              "estimated_amount": 56.55
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 65.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.39
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 66.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 65.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 65.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56.55,
              "estimated_amount": 56.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.39
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 65.55
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 66.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 65.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56.55,
              "estimated_amount": 56.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 65.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 65.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 66.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56.55,
              "estimated_amount": 56.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56.55,
              "estimated_amount": 56.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56.55,
              "estimated_amount": 56.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 65.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 23.46
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.39,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 65.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56.55,
              "estimated_amount": 56.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.39
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 66.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 65.55
            },
            {
              "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": 44.85
            },
            {
              "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": 37.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 65.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 65.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56.55,
              "estimated_amount": 56.55
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 65.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56.55,
              "estimated_amount": 56.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56.55,
              "estimated_amount": 56.55
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 37.95
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 23.46
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 23.46
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 65.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 65.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 65.9
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 65.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 65.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 58.65
            }
          ],
          "minimum": 56.55,
          "maximum": 56.55
        }
      ]
    },
    {
      "description": "Barrier Skin 4 in X 4 in Extended Wear",
      "code_information": [
        {
          "code": "PX-CH-HO8800",
          "type": "CDM"
        },
        {
          "code": "A4385",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.63,
          "discounted_cash": 3.01,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.63,
              "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": 4.63,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.63,
              "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": 4.63,
              "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": 4.63,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.44,
              "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": 4.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 4.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 4.63,
              "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": 97.8,
              "estimated_amount": 4.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 4.63,
              "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": 96,
              "estimated_amount": 4.44
            },
            {
              "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": 95.4,
              "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": 95.5,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.94
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.94
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.63,
              "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": 4.63,
              "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": 95.4,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.44
            },
            {
              "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": 2.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.44
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 96.5,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.63,
              "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": 96,
              "estimated_amount": 4.44
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 3.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.63,
              "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": 3.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.63,
              "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": 4.63,
              "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": 96,
              "estimated_amount": 4.44
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.63,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.57
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.44,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.44,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.63,
              "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": 4.63,
              "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": 4.63,
              "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": 95,
              "estimated_amount": 4.4
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.63,
              "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": 2.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.63,
              "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": 3.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.63,
              "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": 97.8,
              "estimated_amount": 4.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.44
            }
          ]
        }
      ]
    },
    {
      "description": "HC Ebv Viral Capsid Vca",
      "code_information": [
        {
          "code": "PX-30200095",
          "type": "CDM"
        },
        {
          "code": "86665",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 128,
          "discounted_cash": 83.2,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 122.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 122.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 70.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 39.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 122.24
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 121.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 121.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 108.8
            },
            {
              "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": 128,
              "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": 128
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 121.6
            },
            {
              "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": 83.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 122.88
            },
            {
              "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": 112.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 122.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 122.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 123.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 122.24
            },
            {
              "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": 70.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 108.8
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 43.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 70.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 122.88
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 122.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 122.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 123.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 122.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 122.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 39.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 70.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 39.68
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 43.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 122.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 122.24
            },
            {
              "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": 128,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 122.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 122.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 122.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 122.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 122.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 39.68
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 122.88
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 122.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 125.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 121.6
            },
            {
              "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": 128,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 122.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 122.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 123.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 122.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 70.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 122.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 122.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 123.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 122.88
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 121.6
            },
            {
              "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": 95.4,
              "estimated_amount": 122.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 122.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 122.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 39.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 121.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 125.18
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 43.52
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 39.68
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 122.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 123.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 122.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 122.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 122.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 122.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 121.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 108.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 122.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 122.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 122.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 122.88
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 128,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 121.6
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 108.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 122.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 122.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 122.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 39.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 121.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 121.6
            },
            {
              "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": 128,
              "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": 95.4,
              "estimated_amount": 122.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 122.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 122.88
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 86.27
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 39.68,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 39.68,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 39.68,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 125.18
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 108.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 122.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 122.11
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 122.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 123.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 123.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 122.88
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 128,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 39.68
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 121.6
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 108.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 125.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 70.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 121.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 121.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 121.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 39.68
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 43.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 122.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 122.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 122.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 39.68
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 43.52
            }
          ]
        }
      ]
    },
    {
      "description": "Hepatitis Delta Antibody Sendout",
      "code_information": [
        {
          "code": "PX-30200105",
          "type": "CDM"
        },
        {
          "code": "86692",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 250,
          "discounted_cash": 162.5,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 238.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 238.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 241.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 240
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 240
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 240
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 237.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 240
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 240
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 85
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 238.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 241.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 238.5
            },
            {
              "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": 95.4,
              "estimated_amount": 238.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 238.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 238.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 240
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 240
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 240
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 77.5
            },
            {
              "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": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 237.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 240
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 237.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 237.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 77.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 237.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 238.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 241.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 240
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 240
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.16,
              "estimated_amount": 17.16
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 237.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 77.5,
              "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": 162.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 238.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 238.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 241.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 240
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 237.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 237.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 244.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 244.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 241.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 240
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 240
            },
            {
              "payer_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": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 238.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 240
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 240
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 244.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 237.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 85
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 77.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 77.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 238.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 238.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 240
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 240
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 240
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 85
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 238.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 238.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 240
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 240
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 240
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 240
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 240
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 77.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 240
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 237.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 237.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 77.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 241.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 241.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 240
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 240
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 240
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 77.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 244.5
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 77.5
            },
            {
              "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": 137.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 237.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 240
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 77.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 238.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 238.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 240
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 240
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 240
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 77.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 237.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 77.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 77.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 240
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 238.5
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 237.5
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 137.5
            }
          ],
          "minimum": 17.16,
          "maximum": 17.16
        }
      ]
    },
    {
      "description": "Hiv 2 Antibody Sendout",
      "code_information": [
        {
          "code": "PX-30200110",
          "type": "CDM"
        },
        {
          "code": "86702",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 135,
          "discounted_cash": 87.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 128.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 132.03
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 45.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 128.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 41.85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 45.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 129.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 128.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 128.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 128.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 41.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 41.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 128.79
            },
            {
              "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": 95.4,
              "estimated_amount": 128.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 130.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 129.6
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 128.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 128.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 128.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 129.6
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 74.25
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 128.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 128.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 129.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 129.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 41.85
            },
            {
              "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": 87.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 128.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 128.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 128.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 128.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 129.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 129.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 129.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 129.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 129.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 41.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 129.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 128.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 128.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 129.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 129.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 129.6
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 128.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 41.85
            },
            {
              "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": 96,
              "estimated_amount": 129.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 129.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 128.79
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 41.85
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 41.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 129.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 129.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 129.6
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 128.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 129.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 129.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 129.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 41.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 132.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 128.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 45.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 128.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 130.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 129.6
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 41.85,
              "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": 97.8,
              "estimated_amount": 132.03
            },
            {
              "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": 74.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 45.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.52,
              "estimated_amount": 13.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 130.28
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 41.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 128.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 130.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 129.6
            },
            {
              "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": 118.8
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 74.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 128.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 128.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 130.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 129.6
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 128.25
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 128.25
            },
            {
              "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": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 128.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 130.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 129.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 129.6
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 128.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 130.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 129.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 129.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 129.6
            },
            {
              "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": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 128.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 129.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 129.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 132.03
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 128.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 41.85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 41.85
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 96,
              "estimated_amount": 129.6
            }
          ],
          "minimum": 13.52,
          "maximum": 13.52
        }
      ]
    },
    {
      "description": "HC Hiv 1 and 2 Single Result",
      "code_information": [
        {
          "code": "PX-30200111",
          "type": "CDM"
        },
        {
          "code": "86703",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 53,
          "discounted_cash": 34.45,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 50.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "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": 29.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 51.83
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 50.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43
            },
            {
              "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": 53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 18.02
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 51.15
            },
            {
              "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": 53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 50.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 29.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 18.02
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 51.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 51.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 53,
              "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": 29.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 29.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 18.02
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 18.02
            },
            {
              "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": 53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 50.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 50.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 50.62
            },
            {
              "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": 53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 51.83
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 29.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 18.02
            },
            {
              "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": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 50.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 50.62
            },
            {
              "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": 46.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.05
            },
            {
              "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": 34.45
            },
            {
              "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": 53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.05
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.05
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 29.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 50.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 50.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 35.72
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            }
          ]
        }
      ]
    },
    {
      "description": "HC Hepatitis B Core Total Antibody",
      "code_information": [
        {
          "code": "PX-30200112",
          "type": "CDM"
        },
        {
          "code": "86704",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 111,
          "discounted_cash": 72.15,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 107.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "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": 111,
              "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": 111,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 107.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "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": 97.68
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "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": 111,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 111,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "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": 111,
              "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": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 107.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 107.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 108.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 37.74
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "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 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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 72.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 107.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 74.81
            },
            {
              "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": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "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": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41,
              "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": 94.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 108.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 107.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 37.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 108.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 37.74
            },
            {
              "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 HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "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": 111,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 107.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "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": 61.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 37.74
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 108.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 37.74
            }
          ]
        }
      ]
    },
    {
      "description": "HC Mumps Antibodies So",
      "code_information": [
        {
          "code": "PX-30200124",
          "type": "CDM"
        },
        {
          "code": "86735",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 70,
          "discounted_cash": 45.5,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 66.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 66.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.2
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 68.46
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 23.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 67.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.2
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 66.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 66.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 67.55
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.7,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.2
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 23.8
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.7,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 23.8
            },
            {
              "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": 45.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.5
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 66.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.2
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 66.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 66.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 67.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 67.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.2
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 38.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 68.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.05,
              "estimated_amount": 13.05
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.7,
              "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": 95.4,
              "estimated_amount": 66.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 66.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.2
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 68.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 66.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 66.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 66.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.2
            },
            {
              "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": 61.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 23.8
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.2
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.7
            },
            {
              "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": 38.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 66.78
            },
            {
              "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": 95.4,
              "estimated_amount": 66.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 66.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 66.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 67.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 23.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 66.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.2
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 68.46
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 59.5
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.2
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.7
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 66.78
            },
            {
              "payer_name": "CIGNA [370]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 67.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 67.55
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 38.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.5
            }
          ],
          "minimum": 13.05,
          "maximum": 13.05
        }
      ]
    },
    {
      "description": "Trichinella Antibody Sendout",
      "code_information": [
        {
          "code": "PX-30200138",
          "type": "CDM"
        },
        {
          "code": "86784",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 205,
          "discounted_cash": 133.25,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 195.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 196.8
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 194.75
            },
            {
              "payer_name": "COFINITY [407]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 174.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 194.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 63.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 69.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 174.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 195.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 196.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 200.49
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 63.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 196.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 112.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 112.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 197.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 196.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 196.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 195.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 196.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 196.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 196.8
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 63.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 63.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 196.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 112.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 112.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 112.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 194.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 174.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 196.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 196.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 196.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 196.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 196.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 196.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 200.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 195.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 195.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 196.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 196.8
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 174.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 195.57
            },
            {
              "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": 95.4,
              "estimated_amount": 195.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 197.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 196.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 196.8
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 194.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 200.49
            },
            {
              "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": 133.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 63.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 69.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 195.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 195.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 197.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 196.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 200.49
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 69.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 63.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 196.8
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 63.55
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 63.55
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 194.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 197.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 197.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 196.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 196.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 194.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 194.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 196.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 63.55
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 196.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 195.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 196.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 195.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 195.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 196.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 196.8
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 194.75
            },
            {
              "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": 112.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 112.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 194.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 194.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 69.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 195.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 196.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 194.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 196.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 205
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 194.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 174.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 63.55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 63.55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 195.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 196.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 196.8
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 63.55,
              "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": 180.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 195.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 195.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 195.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 197.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 196.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 194.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.56,
              "estimated_amount": 12.56
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 63.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 195.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 197.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 69.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 194.75
            }
          ],
          "minimum": 12.56,
          "maximum": 12.56
        }
      ]
    },
    {
      "description": "HC Varicella Zoster Igg Antibody",
      "code_information": [
        {
          "code": "PX-30200139",
          "type": "CDM"
        },
        {
          "code": "86787",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 244,
          "discounted_cash": 158.6,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 232.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 233.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.3,
              "estimated_amount": 48.3
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 231.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.64
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.64
            },
            {
              "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": "UHC 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": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 232.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 232.78
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.64
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.64
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 231.8
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.64,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.64
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 234.24
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 231.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 232.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 232.78
            },
            {
              "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 NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.3,
              "estimated_amount": 48.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 234.24
            },
            {
              "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": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 232.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 235.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.3,
              "estimated_amount": 48.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "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": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 238.63
            },
            {
              "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": 134.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 82.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 82.96
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 231.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 233.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 233.02
            },
            {
              "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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 207.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 231.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 231.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 235.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 233.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 233.02
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 234.24
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 231.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 231.8
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 207.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 232.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 232.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 232.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 233.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.4,
              "estimated_amount": 232.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 232.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 232.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 235.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 134.2
            },
            {
              "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 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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 134.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 231.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 231.8
            },
            {
              "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": 95.4,
              "estimated_amount": 232.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 235.46
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.64
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 231.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 231.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 232.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 235.46
            },
            {
              "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": "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": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 231.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 232.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 233.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 233.02
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.64
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 164.46
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.64
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 82.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 234.24
            },
            {
              "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": 158.6
            },
            {
              "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": 244,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 232.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 235.46
            },
            {
              "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": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.64,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 238.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 238.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 232.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.3,
              "estimated_amount": 48.3
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 234.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.3,
              "estimated_amount": 48.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 234.24
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 244,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 234.24
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 231.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 235.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.3,
              "estimated_amount": 48.3
            },
            {
              "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": 244,
              "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": 97.8,
              "estimated_amount": 238.63
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 82.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 232.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 233.02
            },
            {
              "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": 244,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 207.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 134.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 82.96
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.64,
              "additional_payer_notes": "OUTPATIENT"
            }
          ],
          "minimum": 48.3,
          "maximum": 48.3
        }
      ]
    },
    {
      "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": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "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": "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-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "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": 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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "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 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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "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 MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "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": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 0.67
            },
            {
              "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 MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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,
              "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": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 0.55
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "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": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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,
              "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 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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "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 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": "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": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "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": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            }
          ]
        }
      ]
    },
    {
      "description": "Deodorizer Sachet Lubricating Brava .27 Oz",
      "code_information": [
        {
          "code": "PX-CH-CO12060",
          "type": "CDM"
        },
        {
          "code": "A4393",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.79,
          "discounted_cash": 0.51,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.79,
              "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": 0.79,
              "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": 0.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.79,
              "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": 0.79,
              "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": 96,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 0.43
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.5,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.79,
              "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": 0.67
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 0.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "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": 0.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.79,
              "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": 67.4,
              "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": 95.4,
              "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": 95.4,
              "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": 0.79,
              "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": 96,
              "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": 95.4,
              "estimated_amount": 0.75
            },
            {
              "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": 95.4,
              "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": 97.8,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.79,
              "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": 0.79,
              "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": 0.79,
              "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": 95,
              "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": 0.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 97.8,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 0.43
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.79,
              "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": 0.79,
              "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": 0.79,
              "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": 95,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.79,
              "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": 0.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.75
            }
          ]
        }
      ]
    },
    {
      "description": "1 Pc Ctf Ext Wear Up to 2 1/2 in Active Life",
      "code_information": [
        {
          "code": "PX-CH-CV4005-98",
          "type": "CDM"
        },
        {
          "code": "A4388",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 7.88,
          "discounted_cash": 5.12,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.49
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.88,
              "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": 7.88,
              "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": 95,
              "estimated_amount": 7.49
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.88,
              "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": 95,
              "estimated_amount": 7.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.88,
              "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": 7.88,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "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": 5.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.68
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.88,
              "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": 7.88,
              "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": 6.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 4.33
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.49
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.88,
              "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": 7.88,
              "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": 95.4,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 4.33
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.88,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.68
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.88,
              "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": 7.88,
              "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": 7.88,
              "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": 7.88,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.56
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.52
            },
            {
              "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": 95.4,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.88,
              "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": 96,
              "estimated_amount": 7.56
            },
            {
              "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": 4.33
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.56
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.49
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 6.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.53
            },
            {
              "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": 7.88,
              "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": 7.88,
              "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": 96,
              "estimated_amount": 7.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 7.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.49
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.71
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.53
            },
            {
              "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": 6.93
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 7.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.49
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.7
            }
          ]
        }
      ]
    },
    {
      "description": "HC Hiv 1 and 2 Single Result Rapid",
      "code_information": [
        {
          "code": "PX-30200622",
          "type": "CDM"
        },
        {
          "code": "86703",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 53,
          "discounted_cash": 34.45,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "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": 53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 51.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43
            },
            {
              "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": 34.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 29.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 29.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 29.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "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": 53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 50.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 50.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 50.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 50.62
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.05
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 18.02
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 53
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 50.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "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": 46.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 51.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 18.02
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 50.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 50.62
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 53,
              "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": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.05
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 18.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 50.62
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.05
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 51.83
            },
            {
              "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": 29.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43
            },
            {
              "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": 53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 51.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 29.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "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": 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": 29.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 18.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 50.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 35.72
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.43,
              "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": 29.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 50.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 50.88
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 18.02
            }
          ]
        }
      ]
    },
    {
      "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": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.08
            },
            {
              "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": "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": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.05
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.2
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.08
            },
            {
              "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": 4.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 2.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.08
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.08
            },
            {
              "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": 5.32,
              "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": 5.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.81
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.08
            },
            {
              "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.2
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.32,
              "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": 5.32,
              "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": 96,
              "estimated_amount": 5.11
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.13
            },
            {
              "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": "BUCKEYE COMMUNITY 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": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.08
            },
            {
              "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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 4.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.2
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.11
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5.32,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.13
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.05
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.08
            },
            {
              "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": "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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.11
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.05
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.11
            },
            {
              "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": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.08
            },
            {
              "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": "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.08
            },
            {
              "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": 95.4,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.11
            }
          ]
        }
      ]
    },
    {
      "description": "Hydrocolloid Drsg Comfeel Thin 2 in X 2 3/4 In",
      "code_information": [
        {
          "code": "PX-CH-CO3530",
          "type": "CDM"
        },
        {
          "code": "A6234",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.53,
          "discounted_cash": 0.99,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 1.46
            },
            {
              "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": 95.4,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.47,
              "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": 0.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.53,
              "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": 1.53,
              "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": 1.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.46
            },
            {
              "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": 1.53,
              "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": 1.53,
              "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": 1.53,
              "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": 1.53,
              "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": 96.5,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.53,
              "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": 1.53,
              "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": 1.53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 1.53,
              "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": 1.53,
              "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": 1.53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 1.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.53,
              "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": 0.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.45
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 97.8,
              "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": 96.5,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.47
            },
            {
              "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": 1.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.45
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.53,
              "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": 96,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.45
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.3
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.47,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 0.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.53,
              "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": 1.53,
              "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": 1.53,
              "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": 96,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.5
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.5
            },
            {
              "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": 0.84
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.47,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "Foam Drsg Adhesive Tielle 4 1/4 X 4 1/4 Hydropolymer",
      "code_information": [
        {
          "code": "PX-CH-JJ2440",
          "type": "CDM"
        },
        {
          "code": "A6212",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 9.85,
          "discounted_cash": 6.4,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.85,
              "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": 9.85,
              "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": 5.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.46
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.05,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.85,
              "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": 8.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.85,
              "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": 9.85,
              "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": 96,
              "estimated_amount": 9.46
            },
            {
              "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": 8.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.85,
              "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": 95,
              "estimated_amount": 9.36
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.85,
              "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": 96,
              "estimated_amount": 9.46
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.42
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.36
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.85,
              "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": 9.85,
              "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": 9.85,
              "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": 96.5,
              "estimated_amount": 9.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.85,
              "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": 9.85,
              "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": 9.85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.36
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.42
            },
            {
              "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": 9.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.85,
              "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": 97.8,
              "estimated_amount": 9.63
            },
            {
              "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": 5.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.36
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 9.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.85,
              "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": 9.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.05,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.4
            },
            {
              "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": 95.4,
              "estimated_amount": 9.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.85,
              "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": 9.85,
              "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": 8.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.36
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.05,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.36
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.36
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.36
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.51
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 9.36
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.4
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 9.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.36
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.46
            }
          ]
        }
      ]
    },
    {
      "description": "HC Immunodiffusion Gel Dif Qual Ea Ag Antb So",
      "code_information": [
        {
          "code": "PX-30200418",
          "type": "CDM"
        },
        {
          "code": "86331",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 316,
          "discounted_cash": 205.4,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 301.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.93,
              "estimated_amount": 44.93
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 303.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 309.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 268.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 97.96,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 97.96,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 303.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 301.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 304.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.93,
              "estimated_amount": 44.93
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 97.96
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 300.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 268.6
            },
            {
              "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": 316,
              "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": 95.5,
              "estimated_amount": 301.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 301.46
            },
            {
              "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": 95.4,
              "estimated_amount": 301.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 304.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 304.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 304.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.93,
              "estimated_amount": 44.93
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 300.2
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 268.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 309.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 300.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 300.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 107.44
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 107.44
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 303.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 301.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 301.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 301.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 304.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 301.78
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 97.96
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 97.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 301.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 304.94
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 97.96
            },
            {
              "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": 316,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 301.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 301.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.93,
              "estimated_amount": 44.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.93,
              "estimated_amount": 44.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.93,
              "estimated_amount": 44.93
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 97.96
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 97.96,
              "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": 268.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 316
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 173.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 300.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 303.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 173.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 173.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 97.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 107.44
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 268.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 301.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.93,
              "estimated_amount": 44.93
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 303.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.93,
              "estimated_amount": 44.93
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 97.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 107.44
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 300.2
            },
            {
              "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": 205.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 173.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 300.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 300.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 301.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 301.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 301.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 301.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 301.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.93,
              "estimated_amount": 44.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.93,
              "estimated_amount": 44.93
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 97.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 300.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 300.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 301.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 301.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 301.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.93,
              "estimated_amount": 44.93
            },
            {
              "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": 316,
              "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": 278.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 309.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.93,
              "estimated_amount": 44.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.93,
              "estimated_amount": 44.93
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 97.96
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 300.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 107.44
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 97.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 304.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 301.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.93,
              "estimated_amount": 44.93
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 300.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 309.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 173.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 300.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 268.6
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 303.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 301.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 301.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 301.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.93,
              "estimated_amount": 44.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.93,
              "estimated_amount": 44.93
            },
            {
              "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": 316,
              "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": 316,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.93,
              "estimated_amount": 44.93
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 212.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 303.36
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 300.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 173.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 301.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 301.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 301.46
            },
            {
              "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": 173.8
            },
            {
              "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": 316,
              "additional_payer_notes": "OUTPATIENT"
            }
          ],
          "minimum": 44.93,
          "maximum": 44.93
        }
      ]
    },
    {
      "description": "\"Washcloth Disposable 12\"\" X 13\"\" Dry 1 Each= 1 Pk of 50\"",
      "code_information": [
        {
          "code": "PX-CH-DY1316",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.96,
          "discounted_cash": 1.92,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.96,
              "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": 2.52
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.5,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.96,
              "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": 2.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.96,
              "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": 2.96,
              "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": 2.96,
              "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": 2.96,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.96,
              "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": 95,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.96,
              "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": 2.96,
              "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": 2.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.52
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.96,
              "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": 95,
              "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": 95.4,
              "estimated_amount": 2.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.96,
              "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": 1.63
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.52
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.96,
              "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": 2.96,
              "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": 96,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.96,
              "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": 2.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95.5,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 1.63
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.96,
              "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": 2.6
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "estimated_amount": 2.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.96,
              "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": 95,
              "estimated_amount": 2.81
            },
            {
              "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": 1.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.63
            }
          ]
        }
      ]
    },
    {
      "description": "HC Factor 2 Clotting Assay",
      "code_information": [
        {
          "code": "PX-30500018",
          "type": "CDM"
        },
        {
          "code": "85210",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2428,
          "discounted_cash": 1578.2,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2316.31
            },
            {
              "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": 95.4,
              "estimated_amount": 2316.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2316.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2330.88
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2063.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2306.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 752.68,
              "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": 96,
              "estimated_amount": 2330.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2316.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2343.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2330.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2306.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 752.68
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 825.52
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2306.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 752.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2316.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2330.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2330.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2330.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2316.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2330.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 752.68
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2306.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1335.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2306.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 752.68
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2063.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 752.68
            },
            {
              "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": 1578.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2374.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2316.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2316.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2330.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2330.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2330.88
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 752.68,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2306.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1335.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.98,
              "estimated_amount": 12.98
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2063.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2316.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2343.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2330.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2330.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2330.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2330.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2330.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2306.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2374.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2374.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2374.58
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 825.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2330.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 752.68
            },
            {
              "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": 2136.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1335.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1335.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 752.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2316.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2316.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2343.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2330.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2316.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2316.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2343.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2330.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2330.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2330.88
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2063.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2428
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1335.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2306.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2306.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 825.52
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 825.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2316.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2330.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2330.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2330.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2330.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2330.88
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 825.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2316.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2343.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1335.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2330.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2306.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2316.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2316.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2343.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2343.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2306.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 752.68
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2063.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2330.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2306.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 752.68,
              "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": 96,
              "estimated_amount": 2330.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2316.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2330.88
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 752.68
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2306.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1335.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2330.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2330.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2330.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 752.68
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2306.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2330.88
            }
          ],
          "minimum": 12.98,
          "maximum": 12.98
        }
      ]
    },
    {
      "description": "HC Factor 5 Clotting Assay",
      "code_information": [
        {
          "code": "PX-30500019",
          "type": "CDM"
        },
        {
          "code": "85220",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2143,
          "discounted_cash": 1392.95,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2044.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2044.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2068
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 664.33
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 664.33,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2035.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1821.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2035.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 664.33
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 1444.38
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2035.85
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2035.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 664.33
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 728.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2044.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2044.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2044.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2068
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2143,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 728.62
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1821.55
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1178.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2044.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2044.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2044.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 664.33,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2044.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2044.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2044.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2044.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2068
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2068
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2035.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 728.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2143
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1178.65
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 664.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2044.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2044.42
            },
            {
              "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": 95.4,
              "estimated_amount": 2044.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 664.33
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 664.33,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "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": 2143,
              "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": 2143,
              "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": 95,
              "estimated_amount": 2035.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1821.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2095.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1178.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2035.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2035.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "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": 2143,
              "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": 1885.84
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2035.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2035.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2035.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 664.33
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1821.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1821.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 728.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 664.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2044.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2035.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 728.62
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2143,
              "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": 96.5,
              "estimated_amount": 2068
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2068
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1821.55
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2035.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2095.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1178.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2035.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2095.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2095.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1178.65
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 664.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2068
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "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": 2143,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2044.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2044.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1178.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 664.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2057.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1178.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 664.33
            },
            {
              "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": 1392.95
            }
          ]
        }
      ]
    },
    {
      "description": "Factor 8 Vonwillebrand Multimetric Sendout",
      "code_information": [
        {
          "code": "PX-30500025",
          "type": "CDM"
        },
        {
          "code": "85247",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 210,
          "discounted_cash": 136.5,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 200.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 202.65
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 65.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 65.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 65.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 200.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 202.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 200.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 86.03,
              "estimated_amount": 86.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 86.03,
              "estimated_amount": 86.03
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 178.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 200.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 200.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 86.03,
              "estimated_amount": 86.03
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 65.1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 65.1,
              "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": 95,
              "estimated_amount": 199.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 199.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 65.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 71.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 71.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 200.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 202.65
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 199.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 178.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 200.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 201.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 200.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 200.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 202.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 202.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 86.03,
              "estimated_amount": 86.03
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 141.54
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 199.5
            },
            {
              "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": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 200.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 200.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 86.03,
              "estimated_amount": 86.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 86.03,
              "estimated_amount": 86.03
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 115.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 200.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 200.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 200.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 200.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 200.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 86.03,
              "estimated_amount": 86.03
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 201.6
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 199.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 199.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 71.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 200.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 86.03,
              "estimated_amount": 86.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 86.03,
              "estimated_amount": 86.03
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 65.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 201.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 205.38
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 71.4
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 65.1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 200.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 200.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 200.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 200.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 86.03,
              "estimated_amount": 86.03
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 65.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 201.6
            },
            {
              "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": 184.8
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 200.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 205.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 200.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 200.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 86.03,
              "estimated_amount": 86.03
            },
            {
              "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": 115.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 199.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 199.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 65.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 199.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 201.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 202.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 200.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 86.03,
              "estimated_amount": 86.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 86.03,
              "estimated_amount": 86.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 86.03,
              "estimated_amount": 86.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 86.03,
              "estimated_amount": 86.03
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 199.5
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 71.4
            },
            {
              "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": 136.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 201.6
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 201.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 65.1
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 202.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 86.03,
              "estimated_amount": 86.03
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 178.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 200.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 200.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 86.03,
              "estimated_amount": 86.03
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 199.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 200.34
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 65.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 205.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 205.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 199.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 199.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 199.5
            }
          ],
          "minimum": 86.03,
          "maximum": 86.03
        }
      ]
    },
    {
      "description": "HC Phospholipid Neutralization Hexagonal",
      "code_information": [
        {
          "code": "PX-30500064",
          "type": "CDM"
        },
        {
          "code": "85598",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 849,
          "discounted_cash": 551.85,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 809.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 809.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 466.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 288.66
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.19,
              "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": 95.4,
              "estimated_amount": 809.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 819.29
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 806.55
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 806.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 288.66
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 849
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 806.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 721.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 809.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 819.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 819.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 819.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 806.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 809.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 809.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 809.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 806.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 721.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 721.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 806.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.19
            },
            {
              "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": 849,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 809.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 819.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.19
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 849,
              "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": 95,
              "estimated_amount": 806.55
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 809.95
            },
            {
              "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": 849,
              "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": 466.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 806.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 806.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 288.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 809.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 809.95
            },
            {
              "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": 95.4,
              "estimated_amount": 809.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 809.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 466.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 466.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 806.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 809.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 819.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 572.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 830.32
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 849,
              "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": 97.8,
              "estimated_amount": 830.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 466.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 288.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 819.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.19,
              "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": 466.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 806.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 809.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 721.65
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 809.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 721.65
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.19,
              "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": 97.8,
              "estimated_amount": 830.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 830.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 806.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 809.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "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": 849,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.19
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 806.55
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 721.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 466.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 806.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 288.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 809.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 815.04
            },
            {
              "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": 747.12
            },
            {
              "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": 551.85
            },
            {
              "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": 849,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Hemoglobin Wb Pulm",
      "code_information": [
        {
          "code": "PX-30500081",
          "type": "CDM"
        },
        {
          "code": "85018",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13,
          "discounted_cash": 8.45,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 13,
              "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": 13,
              "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": 97.8,
              "estimated_amount": 12.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.48
            },
            {
              "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": 11.44
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.03
            },
            {
              "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": 13,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 12.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.35
            },
            {
              "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": 7.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 12.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.42
            },
            {
              "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": 13,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 97.8,
              "estimated_amount": 12.71
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.05
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.03,
              "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": 7.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.42
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.03
            },
            {
              "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": 13,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.03,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.35
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 13
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.03,
              "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": 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": 95.4,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "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": 95.5,
              "estimated_amount": 12.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 11.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 12.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.48
            },
            {
              "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": 8.45
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 8.76
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 12.71
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.42
            }
          ]
        }
      ]
    },
    {
      "description": "HC Culture Blood Aerob Anaerob Pltlt",
      "code_information": [
        {
          "code": "PX-30600002",
          "type": "CDM"
        },
        {
          "code": "87040",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 229,
          "discounted_cash": 148.85,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 218.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 218.7
            },
            {
              "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": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 217.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 217.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 217.55
            },
            {
              "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": 229,
              "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": 96.5,
              "estimated_amount": 220.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 218.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 218.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 218.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.7,
              "estimated_amount": 38.7
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.99
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 223.96
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 194.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 219.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 125.95
            },
            {
              "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": 125.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 77.86
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 194.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 218.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 218.47
            },
            {
              "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": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.7,
              "estimated_amount": 38.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 219.84
            },
            {
              "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 UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.7,
              "estimated_amount": 38.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 219.84
            },
            {
              "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": 229,
              "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": 194.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 217.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 77.86
            },
            {
              "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": 229,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.99
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 77.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 218.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 218.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 218.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 220.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 218.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 218.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 218.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 220.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "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": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 194.65
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.99,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 217.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.99
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 77.86
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 77.86
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 217.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 220.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.7,
              "estimated_amount": 38.7
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 219.84
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 125.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 125.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 217.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 217.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.99
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 219.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 218.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 220.99
            },
            {
              "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 NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.7,
              "estimated_amount": 38.7
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 219.84
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 217.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 223.96
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.99,
              "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": 125.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.99
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 218.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 194.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 219.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 218.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 218.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.7,
              "estimated_amount": 38.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 218.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 218.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 218.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 125.95
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 229,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 218.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 218.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 218.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 220.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 220.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 218.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 218.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "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": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 201.52
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 217.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 125.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 217.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 223.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 217.55
            },
            {
              "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": 95.4,
              "estimated_amount": 218.47
            },
            {
              "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": 148.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.7,
              "estimated_amount": 38.7
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.99
            },
            {
              "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": 229,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 217.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 218.7
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.99
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.99,
              "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": 229
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 217.55
            },
            {
              "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": 229,
              "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": 95.4,
              "estimated_amount": 218.47
            },
            {
              "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": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 154.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 223.96
            }
          ],
          "minimum": 38.7,
          "maximum": 38.7
        }
      ]
    },
    {
      "description": "HC Organism Ref for ID Aerobe So",
      "code_information": [
        {
          "code": "PX-30600059",
          "type": "CDM"
        },
        {
          "code": "87077",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 123,
          "discounted_cash": 79.95,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 117.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 117.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 118.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 123,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 120.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 67.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 118.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 41.82
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 123,
              "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": 95,
              "estimated_amount": 116.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 38.13
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 38.13
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 38.13,
              "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": 95.4,
              "estimated_amount": 117.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 117.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 104.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 117.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 118.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 38.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 67.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 116.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 38.13
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 104.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 117.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 116.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 116.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 120.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 120.29
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 41.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 117.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 118.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 118.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 38.13
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 117.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 117.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 118.7
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 123,
              "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": 123,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 104.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 38.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 117.34
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 38.13
            },
            {
              "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": 108.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 123
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 41.82
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 116.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 117.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 118.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 116.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 116.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 38.13,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 41.82
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 120.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 116.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 117.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 117.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 117.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 38.13
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 82.9
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 104.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 116.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 117.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 117.34
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 38.13,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 67.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 116.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 116.85
            },
            {
              "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": 79.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 67.65
            },
            {
              "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": 67.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 67.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 41.82
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 38.13
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 38.13
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 67.65
            },
            {
              "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": 95.4,
              "estimated_amount": 117.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 118.08
            },
            {
              "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": 123,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 116.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 104.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 104.55
            },
            {
              "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": 123,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 117.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 116.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 116.85
            }
          ]
        }
      ]
    },
    {
      "description": "HC Homogenization Tissue for Culture",
      "code_information": [
        {
          "code": "PX-30600133",
          "type": "CDM"
        },
        {
          "code": "87176",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 176,
          "discounted_cash": 114.4,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 168.08
            },
            {
              "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": 154.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.56
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 149.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 168.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 168.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.05,
              "estimated_amount": 22.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.05,
              "estimated_amount": 22.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.05,
              "estimated_amount": 22.05
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 167.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 96.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 167.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 167.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 149.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.56
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 167.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 168.08
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 59.84
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 168.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 168.96
            },
            {
              "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": 176,
              "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": 114.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 168.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 167.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 167.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 167.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 149.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.05,
              "estimated_amount": 22.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.05,
              "estimated_amount": 22.05
            },
            {
              "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": 176,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 168.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 172.13
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 59.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 149.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.56,
              "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": 95.5,
              "estimated_amount": 168.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.05,
              "estimated_amount": 22.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.05,
              "estimated_amount": 22.05
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 167.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 176
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 96.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 96.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 59.84
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 59.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 169.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.05,
              "estimated_amount": 22.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 169.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.05,
              "estimated_amount": 22.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.05,
              "estimated_amount": 22.05
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 149.6
            },
            {
              "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": 96.8
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.56,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.56
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 168.96
            },
            {
              "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": 176,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 172.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 96.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 167.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 168.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 168.96
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 176,
              "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": 97.8,
              "estimated_amount": 172.13
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.05,
              "estimated_amount": 22.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.05,
              "estimated_amount": 22.05
            },
            {
              "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": 176,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 167.2
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 149.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 169.84
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 167.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 167.2
            },
            {
              "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": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 169.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 169.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.05,
              "estimated_amount": 22.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.05,
              "estimated_amount": 22.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 172.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 96.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 96.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 167.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 167.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 169.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 168.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 168.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.05,
              "estimated_amount": 22.05
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 118.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 168.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 168.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.05,
              "estimated_amount": 22.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.05,
              "estimated_amount": 22.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 59.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 167.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 169.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 168.08
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.56,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.56
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 176,
              "additional_payer_notes": "OUTPATIENT"
            }
          ],
          "minimum": 22.05,
          "maximum": 22.05
        }
      ]
    },
    {
      "description": "HC Legionella Dfa",
      "code_information": [
        {
          "code": "PX-30600177",
          "type": "CDM"
        },
        {
          "code": "87278",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 168,
          "discounted_cash": 109.2,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "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": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.5,
              "estimated_amount": 58.5
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 113.23
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 161.28
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 57.12
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 57.12
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 57.12
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 161.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 162.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.5,
              "estimated_amount": 58.5
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 161.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.5,
              "estimated_amount": 58.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.5,
              "estimated_amount": 58.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.5,
              "estimated_amount": 58.5
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.5,
              "estimated_amount": 58.5
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 164.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 164.3
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.5,
              "estimated_amount": 58.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.5,
              "estimated_amount": 58.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 164.3
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 162.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "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": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.5,
              "estimated_amount": 58.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 92.4
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.5,
              "estimated_amount": 58.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "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": 147.84
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "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": 109.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 162.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 162.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 161.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.5,
              "estimated_amount": 58.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.5,
              "estimated_amount": 58.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 162.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.5,
              "estimated_amount": 58.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 142.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 164.3
            },
            {
              "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": 92.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 57.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 57.12
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 162.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.5,
              "estimated_amount": 58.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.5,
              "estimated_amount": 58.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 161.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 162.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.5,
              "estimated_amount": 58.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 161.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.5,
              "estimated_amount": 58.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 161.28
            }
          ],
          "minimum": 58.5,
          "maximum": 58.5
        }
      ]
    },
    {
      "description": "HC Dna Probe Chlamydia",
      "code_information": [
        {
          "code": "PX-30600192",
          "type": "CDM"
        },
        {
          "code": "87490",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 55,
          "discounted_cash": 35.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 53.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 85.31,
              "estimated_amount": 85.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 85.31,
              "estimated_amount": 85.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 85.31,
              "estimated_amount": 85.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.05
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.05
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 52.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 52.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 18.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 53.79
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.05
            },
            {
              "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": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 52.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 85.31,
              "estimated_amount": 85.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 52.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 52.53
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 37.07
            },
            {
              "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": 48.4
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 52.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 52.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 52.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 52.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 53.79
            },
            {
              "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": 30.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 52.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 52.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 53.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 85.31,
              "estimated_amount": 85.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 52.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 52.8
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 53.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 52.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 85.31,
              "estimated_amount": 85.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 85.31,
              "estimated_amount": 85.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 52.8
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 52.25
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 18.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 52.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 85.31,
              "estimated_amount": 85.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 85.31,
              "estimated_amount": 85.31
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 52.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 52.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 52.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 18.7
            },
            {
              "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": 95.4,
              "estimated_amount": 52.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 53.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 52.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 52.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 85.31,
              "estimated_amount": 85.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 53.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 85.31,
              "estimated_amount": 85.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 85.31,
              "estimated_amount": 85.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.05
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 52.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 52.8
            },
            {
              "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": 35.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 53.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 85.31,
              "estimated_amount": 85.31
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 18.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 53.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 85.31,
              "estimated_amount": 85.31
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 52.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.05
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 52.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.47
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 18.7
            },
            {
              "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": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 52.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 52.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 52.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 85.31,
              "estimated_amount": 85.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 85.31,
              "estimated_amount": 85.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 85.31,
              "estimated_amount": 85.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 52.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 52.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 53.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 53.79
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 30.25
            }
          ],
          "minimum": 85.31,
          "maximum": 85.31
        }
      ]
    },
    {
      "description": "Hiv-1 Quant and Reverse Transcription Sendout",
      "code_information": [
        {
          "code": "PX-30600223",
          "type": "CDM"
        },
        {
          "code": "87536",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 266,
          "discounted_cash": 172.9,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 82.46,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 252.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 260.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 226.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 179.28
            },
            {
              "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": 234.08
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 252.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 252.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 90.44
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 82.46
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 82.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 226.1
            },
            {
              "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": 266,
              "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": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "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": 266,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 82.46,
              "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": 95,
              "estimated_amount": 252.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 266,
              "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": 95,
              "estimated_amount": 252.7
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 226.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 146.3
            },
            {
              "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": 146.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 252.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 90.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 252.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 252.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 90.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 256.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 252.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 226.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "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": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 82.46
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 226.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 260.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 260.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 82.46
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 226.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 82.46
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 82.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 256.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 256.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 82.46
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 82.46
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 256.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 82.46
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 266,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 252.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 82.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 260.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 252.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 90.44
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 266,
              "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": 95,
              "estimated_amount": 252.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 252.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 252.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 82.46,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 256.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 256.69
            },
            {
              "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": 266,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 253.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 255.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 266
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 90.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 256.69
            },
            {
              "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": 172.9
            }
          ]
        }
      ]
    },
    {
      "description": "HC Mrsa Screen Probe",
      "code_information": [
        {
          "code": "PX-30600235",
          "type": "CDM"
        },
        {
          "code": "87641",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 463,
          "discounted_cash": 300.95,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 441.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 444.48
            },
            {
              "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": 463,
              "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": 463,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 441.7
            },
            {
              "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 TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 439.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 393.55
            },
            {
              "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": 254.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 439.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 157.42
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 439.85
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 143.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 441.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 446.8
            },
            {
              "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 ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 143.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 444.48
            },
            {
              "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": 407.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 441.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 441.7
            },
            {
              "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 GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 439.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 393.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 254.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 254.65
            },
            {
              "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": 463,
              "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": 97.8,
              "estimated_amount": 452.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 446.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 442.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 254.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 254.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 439.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 439.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 441.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 441.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 442.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 442.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 441.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 442.17
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 439.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 452.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 439.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 452.81
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 157.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 441.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 441.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 446.8
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 143.53
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 393.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 441.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 446.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 442.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 441.7
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 143.53,
              "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": 463
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 439.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 157.42
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 157.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 439.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 143.53
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 143.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 441.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 446.8
            },
            {
              "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 UMR CHOICE PLUS [625250]",
              "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 ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 143.53
            },
            {
              "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": 463,
              "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": 393.55
            },
            {
              "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": 463,
              "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": 95.5,
              "estimated_amount": 442.17
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 143.53
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 439.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 441.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 442.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 439.85
            },
            {
              "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": 300.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 441.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 446.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 442.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 254.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 143.53
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 393.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 444.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 254.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 439.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 439.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 143.53
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 143.53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 446.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 442.17
            },
            {
              "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": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 312.06
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 143.53
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 444.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 441.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 441.7
            },
            {
              "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": 95.4,
              "estimated_amount": 441.7
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 444.48
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 157.42
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 444.48
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 444.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 442.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 452.81
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 393.55
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 143.53,
              "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": 463,
              "additional_payer_notes": "OUTPATIENT"
            }
          ],
          "minimum": 131.59,
          "maximum": 131.59
        }
      ]
    },
    {
      "description": "HC Trichomonas Vaginalis Direct Prob",
      "code_information": [
        {
          "code": "PX-30600238",
          "type": "CDM"
        },
        {
          "code": "87660",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 154,
          "discounted_cash": 100.1,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 154,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 150.61
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 148.61
            },
            {
              "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": 135.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 150.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "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": 100.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 84.7
            },
            {
              "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": 154,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "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": 154,
              "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": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 148.61
            },
            {
              "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": 84.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.74
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.74
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 52.36
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 84.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 84.7
            },
            {
              "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": 154,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 148.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 148.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.74,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 52.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 150.61
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 148.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 84.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 52.36
            },
            {
              "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": 154,
              "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": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 103.8
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.74,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.74,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 84.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 150.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 52.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.74
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 154,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 84.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.74
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 52.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 148.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 148.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.74
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.74
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 154
            }
          ]
        }
      ]
    },
    {
      "description": "HC Chromosome Count Amnio Cv 15 Cells 1 Karyotype So",
      "code_information": [
        {
          "code": "PX-31000025",
          "type": "CDM"
        },
        {
          "code": "88267",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2906,
          "discounted_cash": 1888.9,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 707.14,
              "estimated_amount": 707.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2842.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2760.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2760.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 988.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2804.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2775.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 707.14,
              "estimated_amount": 707.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 707.14,
              "estimated_amount": 707.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2842.07
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 900.86,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2789.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 900.86
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2789.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 707.14,
              "estimated_amount": 707.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 707.14,
              "estimated_amount": 707.14
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2789.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2789.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 707.14,
              "estimated_amount": 707.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1598.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 900.86
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2470.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2789.76
            },
            {
              "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": 2906,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 900.86,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 900.86
            },
            {
              "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": 1888.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2804.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 707.14,
              "estimated_amount": 707.14
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 900.86
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2760.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2760.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2775.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2804.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 707.14,
              "estimated_amount": 707.14
            },
            {
              "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": 2906,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2760.7
            },
            {
              "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": 1598.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1598.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 900.86
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 900.86
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 988.04
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2470.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2842.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2760.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2760.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 900.86,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 900.86
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2760.7
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2470.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1598.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2470.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2775.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 707.14,
              "estimated_amount": 707.14
            },
            {
              "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": 2906,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2775.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 707.14,
              "estimated_amount": 707.14
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 1958.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2789.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 988.04
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2470.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 900.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2842.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2760.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2760.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 988.04
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2906,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 707.14,
              "estimated_amount": 707.14
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 900.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2906
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1598.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2760.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2775.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 707.14,
              "estimated_amount": 707.14
            },
            {
              "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": 2557.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2804.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2775.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 707.14,
              "estimated_amount": 707.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 707.14,
              "estimated_amount": 707.14
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2760.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 988.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2804.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2804.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2775.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2775.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 707.14,
              "estimated_amount": 707.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2760.7
            },
            {
              "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": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2775.23
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2789.76
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2470.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2804.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2775.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 707.14,
              "estimated_amount": 707.14
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2906,
              "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": 1598.3
            },
            {
              "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": 2906,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 707.14,
              "estimated_amount": 707.14
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 900.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1598.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2760.7
            }
          ],
          "minimum": 707.14,
          "maximum": 707.14
        }
      ]
    },
    {
      "description": "HC Histochem Stain W Frozen Section So",
      "code_information": [
        {
          "code": "PX-31000074",
          "type": "CDM"
        },
        {
          "code": "88314",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 234,
          "discounted_cash": 152.1,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 223.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 223.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 266.85,
              "estimated_amount": 266.85
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.54
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 234,
              "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": 234,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 222.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 79.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 223.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 223.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 266.85,
              "estimated_amount": 266.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 266.85,
              "estimated_amount": 266.85
            },
            {
              "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": 205.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 222.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.54
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 224.64
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 224.64
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 228.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 223.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 223.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 266.85,
              "estimated_amount": 266.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 266.85,
              "estimated_amount": 266.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 266.85,
              "estimated_amount": 266.85
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.54
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 224.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 223.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 223.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 225.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 223.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 266.85,
              "estimated_amount": 266.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 228.85
            },
            {
              "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": 128.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.54,
              "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": 234,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 79.56
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 223.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 223.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 223.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 225.81
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 222.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 225.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 223.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 223.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 266.85,
              "estimated_amount": 266.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 222.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 225.81
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.54
            },
            {
              "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 MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.54
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 222.3
            },
            {
              "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": "HUMANA [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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 79.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 223.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 223.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 266.85,
              "estimated_amount": 266.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 266.85,
              "estimated_amount": 266.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 222.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 222.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 222.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 223.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 223.24
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 223.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 223.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 223.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 266.85,
              "estimated_amount": 266.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 157.72
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 224.64
            },
            {
              "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": 234,
              "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": 95,
              "estimated_amount": 222.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.54
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 224.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 228.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 225.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 223.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 266.85,
              "estimated_amount": 266.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 228.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 79.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 79.56
            },
            {
              "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": 234,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 225.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 266.85,
              "estimated_amount": 266.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 224.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 223.47
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 224.64
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 222.3
            },
            {
              "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": 95.4,
              "estimated_amount": 223.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 223.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 225.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 223.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 266.85,
              "estimated_amount": 266.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 222.3
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 128.7
            },
            {
              "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": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 128.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 222.3
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 222.3
            },
            {
              "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": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 266.85,
              "estimated_amount": 266.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 266.85,
              "estimated_amount": 266.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 222.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 128.7
            },
            {
              "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": 234,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 223.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 223.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 266.85,
              "estimated_amount": 266.85
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.54,
              "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": 198.9
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.54,
              "additional_payer_notes": "OUTPATIENT"
            }
          ],
          "minimum": 266.85,
          "maximum": 266.85
        }
      ]
    },
    {
      "description": "HC Consult Path Requiring Prep",
      "code_information": [
        {
          "code": "PX-31000084",
          "type": "CDM"
        },
        {
          "code": "88323",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 414,
          "discounted_cash": 269.1,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 394.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 394.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 227.7
            },
            {
              "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": 227.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 393.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 128.34,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 140.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 394.96
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 414,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 393.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 397.44
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 351.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 394.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 397.44
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 393.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 394.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 394.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 394.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 395.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 395.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 395.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 188.03,
              "estimated_amount": 188.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 188.03,
              "estimated_amount": 188.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 188.03,
              "estimated_amount": 188.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 188.03,
              "estimated_amount": 188.03
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 397.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 393.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 128.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 140.76
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 393.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 394.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 395.37
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 279.04
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 140.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 394.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 394.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 188.03,
              "estimated_amount": 188.03
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 397.44
            },
            {
              "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": 414,
              "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": 364.32
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 393.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 394.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 399.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 399.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 395.37
            },
            {
              "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": 414,
              "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": 227.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 393.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 393.3
            },
            {
              "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": 414,
              "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": 414,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 394.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 399.51
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 393.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 351.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 351.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 394.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 399.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 188.03,
              "estimated_amount": 188.03
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 128.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 397.44
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 351.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 394.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 395.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 395.37
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 351.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 393.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 140.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 404.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 227.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 128.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 128.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 140.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 394.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 399.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 395.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 188.03,
              "estimated_amount": 188.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 188.03,
              "estimated_amount": 188.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 404.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 393.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 351.9
            },
            {
              "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": 269.1
            },
            {
              "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": 414,
              "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": 96.5,
              "estimated_amount": 399.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 404.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 399.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 188.03,
              "estimated_amount": 188.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 188.03,
              "estimated_amount": 188.03
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 393.3
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 397.44
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 397.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 395.37
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 128.34
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 128.34,
              "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": 95,
              "estimated_amount": 393.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 128.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 227.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 227.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 393.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 128.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 128.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 188.03,
              "estimated_amount": 188.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 188.03,
              "estimated_amount": 188.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 188.03,
              "estimated_amount": 188.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 188.03,
              "estimated_amount": 188.03
            },
            {
              "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": 95.4,
              "estimated_amount": 394.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 188.03,
              "estimated_amount": 188.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 188.03,
              "estimated_amount": 188.03
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 128.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 404.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 227.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 128.34,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 394.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 394.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 395.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 188.03,
              "estimated_amount": 188.03
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 128.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 414
            }
          ],
          "minimum": 188.03,
          "maximum": 188.03
        }
      ]
    },
    {
      "description": "Morph Anlys Ish Comp Assist 1st Probe Stain Sendout",
      "code_information": [
        {
          "code": "PX-31000107",
          "type": "CDM"
        },
        {
          "code": "88367",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1096,
          "discounted_cash": 712.4,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1045.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1057.64
            },
            {
              "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 HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1041.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1071.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1071.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 602.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 602.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 339.76
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 372.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1052.16
            },
            {
              "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": 1096,
              "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": 95,
              "estimated_amount": 1041.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 931.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1045.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1045.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1057.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 339.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1057.64
            },
            {
              "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": 1096,
              "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": 1096
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 339.76
            },
            {
              "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": 95.4,
              "estimated_amount": 1045.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1046.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1046.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "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": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 738.7
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 931.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 602.8
            },
            {
              "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": 602.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1041.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 931.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 339.76,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 372.64
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1052.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1045.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "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": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 964.48
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1052.16
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1041.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1045.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1057.64
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 339.76,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1041.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1041.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 339.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 372.64
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 372.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1057.64
            },
            {
              "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 OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1071.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 602.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 602.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 602.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1041.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 339.76
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1052.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1045.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1046.68
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1041.2
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 931.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1045.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1045.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1045.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1057.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1046.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1046.68
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 339.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 931.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 339.76,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1052.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1071.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1045.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1045.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1057.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1041.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1045.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 339.76
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1096,
              "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": 95.5,
              "estimated_amount": 1046.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1052.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1041.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 372.64
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1041.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 931.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1045.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1045.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1046.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 339.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1041.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1041.2
            },
            {
              "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": 712.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 339.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1045.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1046.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1046.68
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 339.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1045.58
            },
            {
              "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": 1096,
              "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": 1096,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1045.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1046.68
            },
            {
              "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 OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1052.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1041.2
            },
            {
              "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": 1096,
              "additional_payer_notes": "OUTPATIENT"
            }
          ],
          "minimum": 1215.41,
          "maximum": 1215.41
        }
      ]
    },
    {
      "description": "HC Flow Cytometry Cell Cycle Dna",
      "code_information": [
        {
          "code": "PX-31100010",
          "type": "CDM"
        },
        {
          "code": "88182",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 167,
          "discounted_cash": 108.55,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 159.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 159.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 159.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 161.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 161.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 163.33
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.77
            },
            {
              "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": 47.29,
              "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": 95.4,
              "estimated_amount": 159.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 161.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 159.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 159.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 163.33
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.77
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "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 HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 158.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 159.32
            },
            {
              "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": 95.4,
              "estimated_amount": 159.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 91.85
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.77
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 159.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 159.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 161.16
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 141.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 158.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 158.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 56.78
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.77
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.77,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 159.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 159.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.77
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 158.65
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 158.65
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 158.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 159.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 158.65
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 158.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 158.65
            },
            {
              "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": "HUMANA [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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 163.33
            },
            {
              "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": 91.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 158.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 159.32
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 158.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.77
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.77,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 56.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "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": 95.4,
              "estimated_amount": 159.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 159.32
            },
            {
              "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": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "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": 146.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.77
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "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 MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 56.78
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 158.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.77
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 56.78
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 158.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 161.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 159.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 159.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 161.16
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.77,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 56.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 161.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 160.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 163.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 158.65
            }
          ]
        }
      ]
    },
    {
      "description": "HC Xr Facial Bones Complete 3 + Vw",
      "code_information": [
        {
          "code": "PX-32000009",
          "type": "CDM"
        },
        {
          "code": "70150",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 902,
          "discounted_cash": 586.3,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 860.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 860.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 861.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 865.92
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 279.62
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 306.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 860.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 861.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 861.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 902,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 279.62
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 279.62,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 856.9
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 865.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 496.1
            },
            {
              "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": 586.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 860.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 902,
              "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": 902,
              "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": 902,
              "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": 95.4,
              "estimated_amount": 860.51
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 865.92
            },
            {
              "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": 902,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 882.16
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 279.62
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 766.7
            },
            {
              "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": 902,
              "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": 496.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 856.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 279.62
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 856.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 860.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 902,
              "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": 902,
              "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": 96,
              "estimated_amount": 865.92
            },
            {
              "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": 496.1
            },
            {
              "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": 902,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 861.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 860.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 860.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 870.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 870.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 902,
              "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": 902,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 766.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 279.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 856.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 856.9
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 607.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 856.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 279.62
            },
            {
              "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": 95.4,
              "estimated_amount": 860.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 860.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 860.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 870.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 861.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 902,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 279.62
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 856.9
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 856.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 860.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 870.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 902,
              "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": 902,
              "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": 902,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 279.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 856.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 306.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 766.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 870.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 861.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 902,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 865.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 856.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 860.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 860.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 860.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 860.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 861.41
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 279.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 860.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 882.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 496.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 860.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 870.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 861.41
            },
            {
              "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": 793.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 496.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 306.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 902,
              "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": 902,
              "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": 95,
              "estimated_amount": 856.9
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 766.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 306.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 856.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 766.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 279.62,
              "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": 902
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 766.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 279.62,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 306.68
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 279.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 870.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 861.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 861.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 902,
              "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": 902,
              "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": 97.8,
              "estimated_amount": 882.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 882.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 496.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 856.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 865.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 902,
              "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": 902,
              "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": 95,
              "estimated_amount": 856.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 865.92
            },
            {
              "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": 902,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Xr Sinuses Paranasal Less Than 3 Vw",
      "code_information": [
        {
          "code": "PX-32000013",
          "type": "CDM"
        },
        {
          "code": "70210",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 357,
          "discounted_cash": 232.05,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 340.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 340.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 344.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 357,
              "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": 67.4,
              "estimated_amount": 240.62
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 357,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 110.67,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 303.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 339.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 303.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 303.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 303.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 340.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 340.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 340.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 196.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 196.35
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 110.67
            },
            {
              "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": 232.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 340.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 340.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 344.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 340.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 340.94
            },
            {
              "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": 357,
              "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": 314.16
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 342.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 340.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 344.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 357,
              "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": 357,
              "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": 357
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 357,
              "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": 95,
              "estimated_amount": 339.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 303.45
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 110.67,
              "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": 357,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 110.67
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 357,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 121.38
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 342.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 340.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 340.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 357,
              "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": 96,
              "estimated_amount": 342.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 340.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 340.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 340.58
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 303.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 196.35
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 342.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 196.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 110.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 340.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 344.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 344.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 357,
              "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": 357,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 110.67
            },
            {
              "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": 196.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 196.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 339.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 121.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 340.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 340.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 344.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 357,
              "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": 96,
              "estimated_amount": 342.72
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 339.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 340.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 357,
              "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": 357,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 110.67
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 110.67,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 342.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 349.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 110.67
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 121.38
            },
            {
              "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": 357,
              "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": 95.4,
              "estimated_amount": 340.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 340.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 349.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 110.67
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 110.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 340.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 340.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 340.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 357,
              "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": 357,
              "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": 95,
              "estimated_amount": 339.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 196.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 339.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 110.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 357,
              "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": 357,
              "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": 95,
              "estimated_amount": 339.15
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 121.38
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 357,
              "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": 95,
              "estimated_amount": 339.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 339.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 339.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 340.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 357,
              "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": 96,
              "estimated_amount": 342.72
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 110.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 340.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 340.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 357,
              "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": 95,
              "estimated_amount": 339.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 349.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 339.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 121.38
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 339.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 344.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 340.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 357,
              "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": 97.8,
              "estimated_amount": 349.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 339.15
            }
          ]
        }
      ]
    },
    {
      "description": "HC Xr Pelvis Complete 3 + Vw",
      "code_information": [
        {
          "code": "PX-32000049",
          "type": "CDM"
        },
        {
          "code": "72190",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 611,
          "discounted_cash": 397.15,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 582.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 589.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 611,
              "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": 611,
              "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": 95,
              "estimated_amount": 580.45
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 580.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 580.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 580.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 519.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 582.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 589.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 611,
              "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": 611,
              "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": 336.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 336.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 189.41
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 207.74
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 207.74
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 189.41
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 189.41,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 583.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 611,
              "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": 95.4,
              "estimated_amount": 582.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 611,
              "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": 611,
              "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": 611,
              "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": 95,
              "estimated_amount": 580.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 189.41
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 207.74
            },
            {
              "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": 611,
              "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": 336.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 580.45
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 411.81
            },
            {
              "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": 537.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 519.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 582.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 582.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 589.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 583.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 611,
              "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": 611,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 189.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 586.56
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 611,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 582.89
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 580.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 611
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 519.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 207.74
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 586.56
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 611,
              "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": 336.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 336.05
            },
            {
              "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": 336.05
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 189.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 582.89
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 207.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 582.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 582.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 582.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 611,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 189.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 586.56
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 586.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 582.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 583.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 583.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 611,
              "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": 97.8,
              "estimated_amount": 597.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 580.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 580.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 519.35
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 189.41
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 189.41,
              "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": 96.5,
              "estimated_amount": 589.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 589.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 589.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 583.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 611,
              "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": 611,
              "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": 611,
              "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": 95,
              "estimated_amount": 580.45
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 519.35
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 519.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 582.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 582.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 611,
              "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": 611,
              "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": 95,
              "estimated_amount": 580.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 189.41
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 189.41
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 586.56
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 586.56
            },
            {
              "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": 611,
              "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": 95.5,
              "estimated_amount": 583.51
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 586.56
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 189.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 597.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 336.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 580.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 580.45
            },
            {
              "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": 397.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 597.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 580.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 582.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 583.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 583.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 611,
              "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": 95.4,
              "estimated_amount": 582.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 582.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 582.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 583.51
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 189.41,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 582.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 589.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 583.51
            },
            {
              "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": 611,
              "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": 97.8,
              "estimated_amount": 597.56
            }
          ]
        }
      ]
    },
    {
      "description": "HC Xr Sacroiliac Joints Less Than 3 Vw",
      "code_information": [
        {
          "code": "PX-32000050",
          "type": "CDM"
        },
        {
          "code": "72200",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 662,
          "discounted_cash": 430.3,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 631.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 631.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 662,
              "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": 95,
              "estimated_amount": 628.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 635.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 631.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 631.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 638.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 632.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 632.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 662,
              "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": 96,
              "estimated_amount": 635.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 635.52
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 205.22
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 635.52
            },
            {
              "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": 662,
              "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": 95,
              "estimated_amount": 628.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 631.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 638.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 662,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 205.22
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 562.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 662,
              "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": 95,
              "estimated_amount": 628.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 647.44
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 205.22,
              "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": 95.5,
              "estimated_amount": 632.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 662,
              "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": 662,
              "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": 662,
              "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": 582.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 628.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 205.22
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 635.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 631.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 632.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 662,
              "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": 662,
              "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": 95.4,
              "estimated_amount": 631.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 631.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 631.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 638.83
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 662,
              "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": 95,
              "estimated_amount": 628.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 647.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 628.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 205.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 631.55
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 628.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 364.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 364.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 562.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 662,
              "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": 95.4,
              "estimated_amount": 631.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 632.21
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 628.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 647.44
            },
            {
              "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": 364.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 628.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 628.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 225.08
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 562.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 205.22,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 225.08
            },
            {
              "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": 662,
              "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": 662
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 628.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 205.22
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 225.08
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 562.7
            },
            {
              "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": 662,
              "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": 96.5,
              "estimated_amount": 638.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 662,
              "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": 96,
              "estimated_amount": 635.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 364.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 205.22
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 628.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 628.9
            },
            {
              "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": 95.4,
              "estimated_amount": 631.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 632.21
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 205.22
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 205.22
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 205.22,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 562.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 631.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 638.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 662,
              "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": 662,
              "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": 662,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 628.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 364.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 205.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 631.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 638.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 632.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 632.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 632.21
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 446.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 647.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 364.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 225.08
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 562.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 225.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 364.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 631.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 205.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 662,
              "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": 662,
              "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": 662,
              "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": 95.4,
              "estimated_amount": 631.55
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 662,
              "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": 96,
              "estimated_amount": 635.52
            },
            {
              "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": 430.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 631.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 631.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 638.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 632.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 662,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Xr Hand Complete 3 + Vw",
      "code_information": [
        {
          "code": "PX-32000077",
          "type": "CDM"
        },
        {
          "code": "73130",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 590,
          "discounted_cash": 383.5,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 562.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 569.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 590,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 182.9
            },
            {
              "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": 590,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 562.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 562.86
            },
            {
              "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": 590,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 182.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 590
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 566.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 200.6
            },
            {
              "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": 95.4,
              "estimated_amount": 562.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 563.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 590,
              "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": 519.2
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 560.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 562.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 569.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 590,
              "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": 324.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 560.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 560.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 200.6
            },
            {
              "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": 383.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 324.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 324.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 182.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 182.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 562.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 563.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 590,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 566.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 200.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 182.9,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 562.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 563.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 590,
              "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": 590,
              "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": 95.4,
              "estimated_amount": 562.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 562.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 562.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 563.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 590,
              "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": 590,
              "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": 590,
              "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": 324.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 560.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 560.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 562.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 562.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 590,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 569.35
            },
            {
              "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": 590,
              "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": 590,
              "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": 96,
              "estimated_amount": 566.4
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 560.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 562.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 563.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 563.45
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 501.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 577.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 560.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 501.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 501.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 566.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 182.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 182.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 569.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 590,
              "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": 96,
              "estimated_amount": 566.4
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 501.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 324.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 182.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 563.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 563.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 563.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 590,
              "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": 67.4,
              "estimated_amount": 397.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 577.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 577.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 324.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 562.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 569.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 590,
              "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": 324.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 560.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 560.5
            },
            {
              "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": 590,
              "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": 95.4,
              "estimated_amount": 562.86
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 182.9
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 560.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 560.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 577.02
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 501.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 182.9,
              "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": 590,
              "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": 96,
              "estimated_amount": 566.4
            },
            {
              "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": 590,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 182.9
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 590,
              "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": 590,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 182.9,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 562.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 562.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 563.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 590,
              "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": 96,
              "estimated_amount": 566.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 560.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 182.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 200.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 560.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 501.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 200.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 562.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 569.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 569.35
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 560.5
            }
          ]
        }
      ]
    },
    {
      "description": "HC Xr Knee Complete 4 + Vw",
      "code_information": [
        {
          "code": "PX-32000088",
          "type": "CDM"
        },
        {
          "code": "73564",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 850,
          "discounted_cash": 552.5,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 850,
              "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": 850,
              "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": 96,
              "estimated_amount": 816
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 850,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 722.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 807.5
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 807.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 289
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 811.75
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 572.9
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 807.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 807.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 807.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 820.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 811.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 850,
              "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": 850,
              "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": 850,
              "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": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 820.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 811.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 811.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 811.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 850,
              "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": 96,
              "estimated_amount": 816
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 831.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.5
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 816
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 831.3
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 467.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 811.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 850,
              "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": 748
            },
            {
              "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": "HUMANA [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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 816
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 850,
              "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": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 820.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 811.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 811.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 850,
              "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": 95,
              "estimated_amount": 807.5
            },
            {
              "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": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 820.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 850,
              "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": 850,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.5
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 807.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 722.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 289
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 816
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 820.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 850,
              "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": 850,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 816
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 807.5
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 807.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 807.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 807.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 807.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 289
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 289
            },
            {
              "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": 850,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 820.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 820.25
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 816
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 289
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.5
            },
            {
              "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": 850,
              "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": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 850,
              "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": 850,
              "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": 850,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 467.5
            },
            {
              "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": 467.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 810.9
            },
            {
              "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": 850,
              "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": 850,
              "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": 850,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 811.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 811.75
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 807.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 831.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 831.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 807.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 850,
              "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": 850
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.5,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Xr Small Intestine Double Contrast Study",
      "code_information": [
        {
          "code": "PX-32000115",
          "type": "CDM"
        },
        {
          "code": "74251",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2353,
          "discounted_cash": 1529.45,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2244.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2244.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2270.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2247.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2258.88
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2235.35
            },
            {
              "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": 1294.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 729.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2244.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2270.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2353,
              "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": 95,
              "estimated_amount": 2235.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2258.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2301.23
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 800.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2244.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2247.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2258.88
            },
            {
              "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": 2070.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2244.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2244.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2247.12
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2235.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2301.23
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 800.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2353,
              "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": 1294.15
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 729.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2244.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2244.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2244.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2353,
              "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": 67.4,
              "estimated_amount": 1585.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2258.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2244.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2247.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2353,
              "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": 2353,
              "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": 2353,
              "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": 2353,
              "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": 2000.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1294.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2235.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 800.02
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2258.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2244.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2244.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2353,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 729.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1294.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2235.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2244.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2270.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2353,
              "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": 2353,
              "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": 95.4,
              "estimated_amount": 2244.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2270.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2353,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 729.43
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2000.05
            },
            {
              "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": 1529.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2244.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2270.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2353,
              "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": 95,
              "estimated_amount": 2235.35
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2000.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1294.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2235.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 729.43
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 800.02
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2235.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2000.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 800.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2270.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2247.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2353,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 729.43
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2258.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2235.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2235.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 729.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2244.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2244.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2270.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2247.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2353,
              "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": 2353,
              "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": 97.8,
              "estimated_amount": 2301.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1294.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1294.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2235.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 729.43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2301.23
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 729.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2247.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2247.12
            },
            {
              "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": 95.4,
              "estimated_amount": 2244.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2247.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2247.12
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 729.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2235.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2235.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2235.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2000.05
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2258.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2353,
              "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": 2353,
              "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": 2353
            }
          ]
        }
      ]
    },
    {
      "description": "HC Cholangiogram Intraop Addl",
      "code_information": [
        {
          "code": "PX-32000121",
          "type": "CDM"
        },
        {
          "code": "74301",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 400,
          "discounted_cash": 260,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 381.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 381.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 381.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 386
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 124,
              "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": 95,
              "estimated_amount": 380
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 381.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 381.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 386
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 400,
              "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": 400,
              "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": 400,
              "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": 96,
              "estimated_amount": 384
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 124
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 384
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 220
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 340
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 124
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 381.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 381.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 382
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 382
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 382
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 269.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 381.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 381.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 382
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 400,
              "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": 400,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 124
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 380
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 136
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 340
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 124
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 391.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 220
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 380
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 380
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 124
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 136
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 381.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 124
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 380
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 124
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 124
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 381.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 381.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 400,
              "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": 95,
              "estimated_amount": 380
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 381.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 381.6
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 340
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 391.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 136
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 384
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 384
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 391.2
            },
            {
              "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": 220
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 220
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 124,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 386
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 382
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 400,
              "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": 400,
              "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": 352
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 220
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 380
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 136
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 384
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 400,
              "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": 95.4,
              "estimated_amount": 381.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 381.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 384
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 380
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 384
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 391.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 380
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 400,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 382
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 400,
              "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": 95,
              "estimated_amount": 380
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 340
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 400,
              "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": 400,
              "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": 400,
              "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": 400,
              "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": 400,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 381.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 400,
              "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": 400,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 380
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 340
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 136
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 400,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 381.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 386
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 382
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 382
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 400,
              "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": 220
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 124
            },
            {
              "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": 400,
              "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": 400
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 220
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 124,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 386
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 382
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 400,
              "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": 260
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 386
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 386
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 382
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 380
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 380
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 340
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 400,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 124
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 380
            }
          ]
        }
      ]
    },
    {
      "description": "HC Placement Enteroclysis Tube",
      "code_information": [
        {
          "code": "PX-32000127",
          "type": "CDM"
        },
        {
          "code": "74355",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5977,
          "discounted_cash": 3885.05,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5702.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5702.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5702.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5977,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1852.87
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 4028.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5737.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5977
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5678.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1852.87
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2032.18
            },
            {
              "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": 95.4,
              "estimated_amount": 5702.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5702.06
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5678.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5678.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1852.87
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5678.15
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1852.87
            },
            {
              "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": 3885.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5080.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5977,
              "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": 5977,
              "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": 5977,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1852.87
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1852.87
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1852.87
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5737.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5767.81
            },
            {
              "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": 5977,
              "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": 5977,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5678.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5702.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5702.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5767.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5708.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5702.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5708.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5737.92
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5678.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5845.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5702.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5977,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1852.87
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5080.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3287.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1852.87
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5080.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5702.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5702.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5767.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5767.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5708.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5977,
              "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": 96,
              "estimated_amount": 5737.92
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5737.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5702.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5702.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5702.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5767.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5767.81
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5678.15
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5080.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5678.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5678.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3287.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3287.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5702.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5702.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5708.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5977,
              "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": 5977,
              "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": 95,
              "estimated_amount": 5678.15
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2032.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5708.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5845.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5708.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5678.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5737.92
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5737.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5767.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5708.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5845.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3287.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5080.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5845.51
            },
            {
              "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": 3287.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3287.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5678.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1852.87
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2032.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5702.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5702.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5708.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5708.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5708.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5977,
              "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": 5977,
              "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": 95,
              "estimated_amount": 5678.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5977,
              "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": 5977,
              "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": 5977,
              "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": 5977,
              "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": 5259.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3287.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5678.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2032.18
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2032.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5977,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Shuntogram Nonvascular",
      "code_information": [
        {
          "code": "PX-32000149",
          "type": "CDM"
        },
        {
          "code": "75809",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1539,
          "discounted_cash": 1000.35,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1468.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1468.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1469.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1539,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 477.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1505.14
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1477.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1468.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1468.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1485.14
            },
            {
              "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": 1539,
              "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": 95,
              "estimated_amount": 1462.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 846.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 846.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1462.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 846.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1462.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 477.09
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1477.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1485.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1539,
              "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": 1539,
              "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": 1308.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1468.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1485.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1469.75
            },
            {
              "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": 1354.32
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 477.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1462.05
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 477.09,
              "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": 96,
              "estimated_amount": 1477.44
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 477.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1505.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1505.14
            },
            {
              "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": 1000.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1468.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1469.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1539,
              "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": 1539,
              "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": 1539,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1468.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1468.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1469.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1469.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1539,
              "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": 67.4,
              "estimated_amount": 1037.29
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1462.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 523.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1539
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1462.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1462.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1308.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1308.15
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 477.09
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 523.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1468.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1468.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1469.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1539,
              "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": 1539,
              "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": 1539,
              "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": 1539,
              "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": 96,
              "estimated_amount": 1477.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1477.44
            },
            {
              "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": 1539,
              "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": 95,
              "estimated_amount": 1462.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 477.09
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1308.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 846.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1308.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1468.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1539,
              "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": 1539,
              "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": 96.5,
              "estimated_amount": 1485.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1485.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1539,
              "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": 1539,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 477.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1539,
              "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": 846.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 523.26
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 523.26
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 477.09,
              "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": 1539,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1468.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1468.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1539,
              "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": 96,
              "estimated_amount": 1477.44
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1477.44
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1308.15
            },
            {
              "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": 846.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1462.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1462.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1462.05
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 477.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1469.75
            },
            {
              "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": 1539,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 477.09,
              "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": 95.4,
              "estimated_amount": 1468.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1468.21
            },
            {
              "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": 95.4,
              "estimated_amount": 1468.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1485.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1469.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1469.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1539,
              "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": 97.8,
              "estimated_amount": 1505.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1462.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1462.05
            },
            {
              "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": 1539,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1468.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1468.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1485.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1469.75
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1462.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 846.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 477.09
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 477.09
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 523.26
            }
          ]
        }
      ]
    },
    {
      "description": "HC Portogram W Hemodynamics",
      "code_information": [
        {
          "code": "PX-32000162",
          "type": "CDM"
        },
        {
          "code": "75885",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13972,
          "discounted_cash": 9081.8,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13329.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13482.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13343.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13972,
              "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": 12295.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13273.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13273.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13273.4
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4331.32,
              "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": 95.4,
              "estimated_amount": 13329.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13329.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13972,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4331.32
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13413.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 13972
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4331.32
            },
            {
              "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": 9081.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11876.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13482.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13413.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13329.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13329.29
            },
            {
              "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": 13972,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13664.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7684.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13273.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11876.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13413.12
            },
            {
              "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": 95.4,
              "estimated_amount": 13329.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13343.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13972,
              "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": 96,
              "estimated_amount": 13413.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13664.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7684.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13329.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13343.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13972,
              "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": 13972,
              "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": 13972,
              "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": 13972,
              "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": 13972,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13329.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13329.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13972,
              "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": 13972,
              "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": 7684.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4331.32
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13273.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4331.32
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13413.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13329.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13329.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13664.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13273.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4331.32
            },
            {
              "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": 13972,
              "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": 13972,
              "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": 13972,
              "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": 13972,
              "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": 95,
              "estimated_amount": 13273.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13329.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13329.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13329.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13482.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13482.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13972,
              "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": 11876.2
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13273.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13273.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7684.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13273.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13273.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4750.48
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13413.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13329.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13329.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13482.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13482.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13343.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13343.26
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4331.32
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4331.32
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13273.4
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11876.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7684.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4750.48
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 9417.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13329.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13482.98
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4331.32
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11876.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11876.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4750.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13329.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13343.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13343.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13343.26
            },
            {
              "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": 13972,
              "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": 13972,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4331.32,
              "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": 13972,
              "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": 13972,
              "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": 95,
              "estimated_amount": 13273.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4750.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13972,
              "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": 96,
              "estimated_amount": 13413.12
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4331.32
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13273.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13343.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13343.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13972,
              "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": 13972,
              "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": 7684.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4750.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13664.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7684.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4331.32
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4331.32,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Portogram WO Hemodynamics",
      "code_information": [
        {
          "code": "PX-32000163",
          "type": "CDM"
        },
        {
          "code": "75887",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 9544,
          "discounted_cash": 6203.6,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9104.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9104.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9209.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9114.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9334.03
            },
            {
              "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": 9544,
              "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": 95.4,
              "estimated_amount": 9104.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9104.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9209.96
            },
            {
              "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": 9544,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9066.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9066.8
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3244.96
            },
            {
              "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": 9544,
              "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": 9544,
              "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": 8112.4
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2958.64
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2958.64,
              "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": 97.8,
              "estimated_amount": 9334.03
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9162.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5249.2
            },
            {
              "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": 5249.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2958.64
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3244.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9209.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9544,
              "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": 9544,
              "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": 9544,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9066.8
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3244.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9209.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9544,
              "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": 9544,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9066.8
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9066.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9104.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9104.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9104.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9544,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2958.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9162.24
            },
            {
              "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": 8398.72
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9066.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 9544
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9334.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5249.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9066.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2958.64
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8112.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2958.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9104.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9104.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9114.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9114.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9114.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9544,
              "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": 8112.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9104.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9544,
              "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": 9544,
              "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": 9544,
              "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": 95.4,
              "estimated_amount": 9104.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9114.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9114.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9066.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2958.64
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2958.64,
              "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": 96,
              "estimated_amount": 9162.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3244.96
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8112.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9104.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9104.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9209.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9544,
              "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": 9544,
              "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": 67.4,
              "estimated_amount": 6432.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5249.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9066.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9066.8
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2958.64,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2958.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9104.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9209.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9544,
              "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": 96,
              "estimated_amount": 9162.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9104.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9104.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5249.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9104.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9544,
              "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": 95,
              "estimated_amount": 9066.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2958.64
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8112.4
            },
            {
              "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": 6203.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9114.52
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9162.24
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9066.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9066.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9162.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9114.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9162.24
            },
            {
              "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": 9544,
              "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": 95.4,
              "estimated_amount": 9104.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9209.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9114.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9544,
              "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": 9544,
              "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": 9544,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2958.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9334.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5249.2
            },
            {
              "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": 9544,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9114.52
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2958.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5249.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9066.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3244.96
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8112.4
            }
          ]
        }
      ]
    },
    {
      "description": "HC Xr Bone Survey Complete",
      "code_information": [
        {
          "code": "PX-32000212",
          "type": "CDM"
        },
        {
          "code": "77075",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1533,
          "discounted_cash": 996.45,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1462.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1462.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1533,
              "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": 96,
              "estimated_amount": 1471.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1456.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1471.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1533,
              "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": 1533,
              "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": 1533,
              "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": 843.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 843.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1456.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 475.23
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1303.05
            },
            {
              "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": 1533,
              "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": 95,
              "estimated_amount": 1456.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 475.23
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 521.22
            },
            {
              "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": 1533,
              "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": 1533,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1471.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1479.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1479.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1464.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1533,
              "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": 1533,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 475.23
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1456.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1499.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 843.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 843.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1456.35
            },
            {
              "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": 1533,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1456.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1456.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1303.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1303.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1462.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1464.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1464.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1464.02
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 475.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1499.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 843.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 475.23
            },
            {
              "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": 996.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1464.02
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 475.23
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1533,
              "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": 1303.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1462.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1464.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1499.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1499.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1456.35
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 475.23
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 521.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1462.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1479.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1471.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1456.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1462.48
            },
            {
              "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": 95.4,
              "estimated_amount": 1462.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1462.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1464.02
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 1033.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1462.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1464.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1464.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1533,
              "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": 1533,
              "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": 1303.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1456.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1303.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1533
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 521.22
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 475.23,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 521.22
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1471.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1462.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1479.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1533,
              "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": 1533,
              "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": 95,
              "estimated_amount": 1456.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 843.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1456.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1462.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1479.35
            },
            {
              "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": 1533,
              "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": 1533,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 475.23
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 475.23,
              "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": 1349.04
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1456.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1462.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1479.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 521.22
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 475.23,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1462.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1479.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1533,
              "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": 1533,
              "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": 1533,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1462.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1462.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1533,
              "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": 96,
              "estimated_amount": 1471.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1462.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1462.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1464.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1533,
              "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": 95,
              "estimated_amount": 1456.35
            },
            {
              "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": 843.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 475.23
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 475.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1462.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1533,
              "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": 96,
              "estimated_amount": 1471.68
            }
          ]
        }
      ]
    },
    {
      "description": "HC Angiogram Pulmonary Bilateral",
      "code_information": [
        {
          "code": "PX-32300013",
          "type": "CDM"
        },
        {
          "code": "75743",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4519,
          "discounted_cash": 2937.35,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4311.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4311.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4519,
              "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": 2485.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4293.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4293.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1400.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4311.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4519,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1400.89
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4293.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2485.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4293.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1536.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4311.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4315.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4519,
              "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": 67.4,
              "estimated_amount": 3045.81
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4338.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4311.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4315.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4419.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4419.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4419.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3841.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3841.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4293.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3841.15
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1400.89
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4338.24
            },
            {
              "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": 4519,
              "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": 4519,
              "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": 2485.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4293.05
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1400.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4311.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4311.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4311.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4519,
              "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": 4519,
              "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": 95,
              "estimated_amount": 4293.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4311.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4311.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4360.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4519,
              "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": 96,
              "estimated_amount": 4338.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4293.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1536.46
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1536.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4293.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4311.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4311.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4315.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4519,
              "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": 4519,
              "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": 4519,
              "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": 4519
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4419.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4519,
              "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": 4519,
              "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": 95.4,
              "estimated_amount": 4311.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4315.65
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3841.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2485.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1536.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4360.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4360.84
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4293.05
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4293.05
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3841.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1400.89
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1536.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4311.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4311.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4315.65
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4338.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4360.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4315.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4519,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1400.89
            },
            {
              "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": 3976.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2485.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4315.65
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1400.89
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4338.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4338.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2485.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4293.05
            },
            {
              "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": 2937.35
            },
            {
              "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": 2485.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4293.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4293.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4360.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4315.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4519,
              "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": 96,
              "estimated_amount": 4338.24
            },
            {
              "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": 95.4,
              "estimated_amount": 4311.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4315.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4519,
              "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": 4519,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1400.89
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1400.89
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1400.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4311.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4311.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4360.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4360.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4315.65
            }
          ]
        }
      ]
    },
    {
      "description": "HC Chemo Sq Im Non Horm Antineoplast",
      "code_information": [
        {
          "code": "PX-33100001",
          "type": "CDM"
        },
        {
          "code": "96401",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 475,
          "discounted_cash": 308.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 453.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 453.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 453.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 475,
              "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": 403.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 261.25
            },
            {
              "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": 475,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 453.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 453.63
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 320.15
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 451.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 261.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 161.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 451.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 475
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 464.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 261.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 451.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 147.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 403.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 147.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 453.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 453.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 458.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 453.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 475,
              "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": 418
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 453.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 475,
              "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": 261.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 451.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 161.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 96,
              "estimated_amount": 456
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 453.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 458.38
            },
            {
              "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": 475,
              "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": 475,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 456
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 451.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 456
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 453.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 453.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 475,
              "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": 95,
              "estimated_amount": 451.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 451.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 147.25,
              "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": 475,
              "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": 261.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 403.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 475,
              "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": 475,
              "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": 95,
              "estimated_amount": 451.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 453.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 453.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 453.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 475,
              "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": 96,
              "estimated_amount": 456
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 451.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 453.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 458.38
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 147.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 456
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 456
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 261.25
            },
            {
              "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": 261.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 403.75
            },
            {
              "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": 308.75
            },
            {
              "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": 475,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 458.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 475,
              "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": 475,
              "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": 475,
              "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": 475,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 147.25
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 451.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 451.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 458.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 475,
              "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": 475,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 453.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 464.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 458.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 453.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 475,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 147.25
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 147.25,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 147.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 147.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 453.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 453.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 453.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 475,
              "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": 475,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 147.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 464.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 147.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 451.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 453.15
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 161.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 458.38
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 147.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 403.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 453.15
            },
            {
              "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": 95.4,
              "estimated_amount": 453.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 453.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 453.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 475,
              "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": 95,
              "estimated_amount": 451.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 451.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 403.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 161.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 453.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 453.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 475,
              "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": 96,
              "estimated_amount": 456
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 464.55
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 147.25,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Chemo Sq Im Horm Antineoplast",
      "code_information": [
        {
          "code": "PX-33100002",
          "type": "CDM"
        },
        {
          "code": "96402",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 244,
          "discounted_cash": 158.6,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 232.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 232.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 235.46
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 164.46
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 207.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 238.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 235.46
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 231.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 231.8
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.64,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 238.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 231.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 231.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 234.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 233.02
            },
            {
              "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": "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 CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 232.78
            },
            {
              "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": "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": "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 231.8
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 82.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.64
            },
            {
              "payer_name": "UHC 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": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 232.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 232.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 207.4
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "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": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 232.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.4,
              "estimated_amount": 232.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 233.02
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.64,
              "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": 134.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.64
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.64
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 231.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 232.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 232.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 232.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 235.46
            },
            {
              "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": "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 232.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 232.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 232.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 235.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 233.02
            },
            {
              "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": "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 OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 244,
              "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": 96,
              "estimated_amount": 234.24
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 231.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 233.02
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 231.8
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.64,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 134.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 231.8
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 234.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 235.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 233.02
            },
            {
              "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": 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 GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 244,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.64
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.64
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 231.8
            },
            {
              "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": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 232.78
            },
            {
              "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": "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 NAVIGATE [625280]",
              "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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 234.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 82.96
            },
            {
              "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": "HUMANA [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": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 232.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 232.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 235.46
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 234.24
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 238.63
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 82.96
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.64
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 82.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 235.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 233.02
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 234.24
            },
            {
              "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": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 231.8
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 234.24
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 232.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 233.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 233.02
            },
            {
              "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": 244,
              "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": 97.8,
              "estimated_amount": 238.63
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 231.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 232.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 231.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 82.96
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 231.8
            }
          ]
        }
      ]
    },
    {
      "description": "HC Chemo Ivp Single or Initial Drug",
      "code_information": [
        {
          "code": "PX-33100004",
          "type": "CDM"
        },
        {
          "code": "96409",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 754,
          "discounted_cash": 490.1,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 719.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 719.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 719.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 754,
              "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": 754,
              "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": 754,
              "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": 663.52
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 716.3
            },
            {
              "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": 414.7
            },
            {
              "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": 754,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 719.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 719.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 719.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 719.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 727.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 720.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 754,
              "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": 754,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 233.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 414.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 737.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 716.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 716.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 256.36
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 640.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 720.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 754,
              "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": 754,
              "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": 754,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 233.74
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 716.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 723.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 414.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 233.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 719.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 719.32
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 716.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 737.41
            },
            {
              "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": 490.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 754,
              "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": 95.4,
              "estimated_amount": 719.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 719.32
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 754,
              "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": 414.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 640.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 256.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 716.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 256.36
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 754,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 719.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 727.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 720.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 720.07
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 508.2
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 723.84
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 716.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 233.74
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 716.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 233.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 727.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 720.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 754,
              "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": 96,
              "estimated_amount": 723.84
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 640.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 720.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 754,
              "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": 754,
              "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": 754,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 233.74
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 233.74,
              "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": 414.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 716.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 414.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 716.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 256.36
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 256.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 719.32
            },
            {
              "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": 95.4,
              "estimated_amount": 719.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 720.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 737.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 754
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 754,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 719.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 754,
              "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": 754,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 233.74
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 716.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 414.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 720.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 754,
              "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": 754,
              "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": 96,
              "estimated_amount": 723.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 727.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 727.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 754,
              "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": 640.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 716.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 716.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 723.84
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 233.74
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 640.9
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 233.74,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 719.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 720.07
            },
            {
              "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": 754,
              "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": 95.4,
              "estimated_amount": 719.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 727.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 720.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 737.41
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 233.74
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 233.74
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 233.74,
              "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": 95.4,
              "estimated_amount": 719.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 727.61
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 723.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 723.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 716.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 640.9
            }
          ]
        }
      ]
    },
    {
      "description": "HC Interstitial Radiation Source Application Complex",
      "code_information": [
        {
          "code": "PX-33300041",
          "type": "CDM"
        },
        {
          "code": "77778",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4935,
          "discounted_cash": 3207.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4707.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4707.99
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4737.6
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1529.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2714.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1677.9
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4737.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4712.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4935,
              "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": 4935,
              "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": 4935,
              "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": 4342.8
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4737.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4826.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2714.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4688.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4688.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4688.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1529.85
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1677.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1529.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4712.93
            },
            {
              "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": 4935,
              "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": 4935,
              "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": 4935,
              "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": 67.4,
              "estimated_amount": 3326.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4737.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4707.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4707.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4712.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4826.43
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4194.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4826.43
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4688.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4707.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4707.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4707.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4935,
              "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": 95,
              "estimated_amount": 4688.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4707.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4712.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4935,
              "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": 4935,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1529.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4762.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4762.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2714.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2714.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4688.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4826.43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4935
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4688.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4688.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1529.85
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1529.85
            },
            {
              "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": 3207.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4707.99
            },
            {
              "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": 2714.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4194.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4737.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4935,
              "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": 4935,
              "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": 4935,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1529.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4707.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4935,
              "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": 96,
              "estimated_amount": 4737.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2714.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4707.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4762.28
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1677.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4707.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4712.93
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4688.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4707.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2714.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4707.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4762.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4712.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4935,
              "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": 4194.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1529.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4762.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4712.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4935,
              "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": 4935,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1529.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4688.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4194.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1677.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4688.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4707.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4707.99
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1677.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4762.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4712.93
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4737.6
            },
            {
              "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": 95.4,
              "estimated_amount": 4707.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4707.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4712.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4712.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4688.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4762.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4935,
              "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": 95,
              "estimated_amount": 4688.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4688.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1529.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4194.75
            }
          ]
        }
      ]
    },
    {
      "description": "HC Stereotactic Radiotx 1-5 Sources",
      "code_information": [
        {
          "code": "PX-33300050",
          "type": "CDM"
        },
        {
          "code": "77373",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5021,
          "discounted_cash": 3263.65,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4790.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4790.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4790.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4795.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4795.06
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1556.51,
              "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": 4267.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1556.51
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4267.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4790.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5021,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1556.51
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1556.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4910.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4769.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4769.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4820.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4795.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5021,
              "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": 5021,
              "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": 95.4,
              "estimated_amount": 4790.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4795.06
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4769.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2761.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4769.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1556.51
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1556.51,
              "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": 96,
              "estimated_amount": 4820.16
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1707.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4267.85
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1707.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4790.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4795.06
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1556.51
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4820.16
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4820.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2761.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1556.51
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1556.51,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4845.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5021,
              "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": 5021,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1556.51
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4267.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4790.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5021,
              "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": 96,
              "estimated_amount": 4820.16
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5021,
              "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": 95,
              "estimated_amount": 4769.95
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1556.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4910.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5021
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2761.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4769.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1707.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4790.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4845.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4795.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5021,
              "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": 5021,
              "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": 67.4,
              "estimated_amount": 3384.15
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4769.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4769.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4769.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4820.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4790.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4790.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4790.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5021,
              "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": 5021,
              "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": 95.4,
              "estimated_amount": 4790.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4790.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4845.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4845.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4795.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4820.16
            },
            {
              "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": 5021,
              "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": 2761.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1707.14
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1556.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4910.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2761.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4769.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4267.85
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1707.14
            },
            {
              "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": 3263.65
            },
            {
              "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": 5021,
              "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": 5021,
              "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": 4267.85
            },
            {
              "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": 95.4,
              "estimated_amount": 4790.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4790.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5021,
              "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": 5021,
              "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": 95,
              "estimated_amount": 4769.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4845.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4795.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4795.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5021,
              "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": 97.8,
              "estimated_amount": 4910.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4790.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4845.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4795.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5021,
              "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": 4418.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4790.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4845.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5021,
              "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": 95,
              "estimated_amount": 4769.95
            },
            {
              "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": 2761.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2761.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4769.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4769.95
            },
            {
              "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": 5021,
              "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": 5021,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4790.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5021,
              "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": 5021,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1556.51
            }
          ]
        }
      ]
    },
    {
      "description": "HC Thyroid Uptake Single or Mult",
      "code_information": [
        {
          "code": "PX-34100001",
          "type": "CDM"
        },
        {
          "code": "78012",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1119,
          "discounted_cash": 727.35,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1067.53
            },
            {
              "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": 95.4,
              "estimated_amount": 1067.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1119,
              "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": 1119,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 346.89
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1063.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 951.15
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 380.46
            },
            {
              "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": 727.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1068.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1119,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 346.89,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 346.89
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 951.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1074.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1068.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1068.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1119,
              "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": 96,
              "estimated_amount": 1074.24
            },
            {
              "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": 1119,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1067.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1068.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1068.65
            },
            {
              "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": 1119,
              "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": 95,
              "estimated_amount": 1063.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1063.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1063.05
            },
            {
              "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": 1119,
              "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": 615.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 346.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1067.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1079.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1119,
              "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": 1119,
              "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": 1119,
              "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": 951.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1094.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1063.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 346.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1067.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1079.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1119,
              "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": 96,
              "estimated_amount": 1074.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1067.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1067.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1079.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1074.24
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 951.15
            },
            {
              "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": 1119,
              "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": 97.8,
              "estimated_amount": 1094.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 615.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 951.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1063.05
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 346.89,
              "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": 96,
              "estimated_amount": 1074.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1067.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1079.84
            },
            {
              "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": 984.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1119
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 615.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 380.46
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 380.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1063.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 951.15
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 346.89,
              "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": 1119,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1067.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1067.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1067.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1119,
              "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": 95,
              "estimated_amount": 1063.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1067.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1068.65
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 346.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 615.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1063.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 615.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1074.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1067.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1119,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 346.89
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 346.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1079.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1068.65
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1074.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1067.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 615.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1067.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1068.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1119,
              "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": 95,
              "estimated_amount": 1063.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1063.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1067.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1067.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1068.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1068.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1063.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 346.89
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 380.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1094.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1094.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1063.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1119,
              "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": 67.4,
              "estimated_amount": 754.21
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1119,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1063.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1067.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1079.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1119,
              "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": 1119,
              "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": 1119,
              "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": 1119,
              "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": 1119,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 346.89
            },
            {
              "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": 615.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 346.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1079.84
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 380.46
            }
          ]
        }
      ]
    },
    {
      "description": "HC Parathyroid Planar Imaging",
      "code_information": [
        {
          "code": "PX-34100006",
          "type": "CDM"
        },
        {
          "code": "78070",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2845,
          "discounted_cash": 1849.25,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2714.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2845,
              "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": 95,
              "estimated_amount": 2702.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2714.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2716.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2845,
              "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": 2845,
              "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": 2418.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2702.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2702.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2714.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2745.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2716.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2845,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2714.13
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2731.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1564.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1564.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 881.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2418.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2418.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2714.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2745.43
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 881.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2845
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1564.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 881.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 967.3
            },
            {
              "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": 1849.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2714.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2714.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2714.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2745.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2845,
              "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": 2845,
              "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": 2418.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2782.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1564.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 967.3
            },
            {
              "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": 1564.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2702.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2714.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2714.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2714.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2845,
              "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": 2845,
              "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": 96,
              "estimated_amount": 2731.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2702.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2731.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2745.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2716.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2845,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 881.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2702.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2714.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2714.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2714.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2716.98
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 881.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 881.95
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 967.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2782.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2782.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1564.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2702.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 881.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2745.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2745.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2716.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2716.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2716.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2845,
              "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": 2845,
              "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": 2845,
              "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": 96,
              "estimated_amount": 2731.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2782.41
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 881.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2716.98
            },
            {
              "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": 2845,
              "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": 2845,
              "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": 2845,
              "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": 2845,
              "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": 67.4,
              "estimated_amount": 1917.53
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2702.75
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2702.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2702.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2702.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2418.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2714.13
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 881.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2702.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 881.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1564.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 967.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2845,
              "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": 96,
              "estimated_amount": 2731.2
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2731.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2714.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2714.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2745.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2716.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2716.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2731.2
            },
            {
              "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": 2503.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2702.75
            },
            {
              "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": 95.4,
              "estimated_amount": 2714.13
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2702.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 967.3
            }
          ]
        }
      ]
    },
    {
      "description": "HC Salivary Gland Imaging",
      "code_information": [
        {
          "code": "PX-34100021",
          "type": "CDM"
        },
        {
          "code": "78230",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2709,
          "discounted_cash": 1760.85,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2584.39
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2302.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2302.65
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 921.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2584.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2614.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2587.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2709,
              "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": 95,
              "estimated_amount": 2573.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2573.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 839.79
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2573.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2302.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2709
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2584.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2587.1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 839.79
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2573.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2584.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2584.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2709,
              "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": 2709,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 839.79
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2573.55
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2302.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2600.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1489.95
            },
            {
              "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": 1489.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1489.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2573.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 921.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2584.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2614.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2709,
              "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": 2709,
              "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": 95,
              "estimated_amount": 2573.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 921.06
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2600.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2584.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2614.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2709,
              "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": 96,
              "estimated_amount": 2600.64
            },
            {
              "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": 2709,
              "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": 2709,
              "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": 95,
              "estimated_amount": 2573.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2584.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2584.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2584.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2584.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2584.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2573.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2600.64
            },
            {
              "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": 95.4,
              "estimated_amount": 2584.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2587.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2600.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2587.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2649.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2573.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 839.79
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 921.06
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 839.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2584.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2614.19
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2600.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2649.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1489.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1489.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2584.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2587.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2587.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2709,
              "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": 2709,
              "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": 2709,
              "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": 67.4,
              "estimated_amount": 1825.87
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2600.64
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2302.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2649.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2587.1
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 839.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2573.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 921.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2614.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2614.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2614.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2587.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2709,
              "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": 2709,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 839.79
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2573.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2649.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 839.79
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 839.79
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 839.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2584.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2584.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2587.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2709,
              "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": 2709,
              "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": 1760.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2584.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2709,
              "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": 2709,
              "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": 2383.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1489.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2573.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2587.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1489.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2573.55
            }
          ]
        }
      ]
    },
    {
      "description": "Central Line Dressing Tray W/2% Chg With Biopatch",
      "code_information": [
        {
          "code": "PX-CH-AC68909",
          "type": "CDM"
        },
        {
          "code": "A4221",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 25.73,
          "discounted_cash": 16.72,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 14.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24.57
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.44
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.83
            },
            {
              "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": 25.73,
              "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": 25.73,
              "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": 25.73,
              "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": 67.4,
              "estimated_amount": 17.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24.7
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24.57
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21.87
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.44
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.73,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 21.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.73,
              "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": 95.4,
              "estimated_amount": 24.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.73,
              "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": 96,
              "estimated_amount": 24.7
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 25.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.44
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21.87
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.73,
              "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": 14.15
            },
            {
              "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": 14.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.44
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.73,
              "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": 25.73,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.73,
              "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": 25.73,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14.15
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.73,
              "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": 25.73,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.98
            },
            {
              "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": 22.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.83
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.73,
              "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": 25.73,
              "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": 95.4,
              "estimated_amount": 24.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.83
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.44
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 25.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.44
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 25.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 25.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14.15
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24.7
            },
            {
              "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": 16.72
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.73,
              "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": 96,
              "estimated_amount": 24.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 25.16
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.73,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.44
            }
          ]
        }
      ]
    },
    {
      "description": "HC Cardiac Shunt Detection",
      "code_information": [
        {
          "code": "PX-34100032",
          "type": "CDM"
        },
        {
          "code": "78428",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 978,
          "discounted_cash": 635.7,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 933.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 933.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 943.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 943.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 978,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 303.18
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 303.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 978,
              "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": 978,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 303.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 537.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 929.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 929.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 303.18
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 332.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 943.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 933.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 933.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 933.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 933.01
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 929.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 929.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 956.48
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 303.18
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 831.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 933.01
            },
            {
              "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": 978,
              "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": 978,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 303.18
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 659.17
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 831.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 933.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 933.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 978,
              "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": 95.4,
              "estimated_amount": 933.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 933.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 978,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 303.18
            },
            {
              "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": 860.64
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 831.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 332.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 537.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 929.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 332.52
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 938.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 943.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 943.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 978,
              "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": 978,
              "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": 978,
              "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": 95,
              "estimated_amount": 929.1
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 938.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 303.18
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 938.88
            },
            {
              "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": 635.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 933.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 933.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 978,
              "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": 978,
              "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": 96,
              "estimated_amount": 938.88
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 831.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 956.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 537.9
            },
            {
              "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": 537.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 332.52
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 929.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 537.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 929.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 831.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 303.18
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 938.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 933.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 933.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 933.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 978,
              "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": 537.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 933.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 978,
              "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": 96,
              "estimated_amount": 938.88
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 303.18
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 929.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 933.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 956.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 933.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 978,
              "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": 95.4,
              "estimated_amount": 933.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 933.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 933.99
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 929.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 537.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 929.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 929.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 929.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 332.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 933.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 933.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 933.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 933.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 978,
              "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": 95.5,
              "estimated_amount": 933.99
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 938.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 956.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 943.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 943.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 933.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 978,
              "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": 978
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 929.1
            }
          ]
        }
      ]
    },
    {
      "description": "Pulmonary Ventilation Imaging",
      "code_information": [
        {
          "code": "PX-34100046",
          "type": "CDM"
        },
        {
          "code": "78579",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1580,
          "discounted_cash": 1027,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1507.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1580,
              "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": 95,
              "estimated_amount": 1501
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1501
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1501
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1501
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1343
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 489.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1507.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1507.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1508.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1580,
              "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": 1343
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 489.8
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 537.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1545.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1545.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 489.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1507.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1507.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1507.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1524.7
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 489.8
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 489.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1507.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1580,
              "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": 1580,
              "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": 96,
              "estimated_amount": 1516.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 489.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1501
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1516.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 869
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 869
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1507.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1524.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1580,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 537.2
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 489.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1508.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1580,
              "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": 1580,
              "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": 95.4,
              "estimated_amount": 1507.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1507.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1507.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1524.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1580,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 489.8
            },
            {
              "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": 1390.4
            },
            {
              "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": 869
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 869
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1545.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1501
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1501
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1507.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1524.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1524.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1508.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1516.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1516.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1501
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1508.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1580,
              "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": 1580,
              "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": 95.4,
              "estimated_amount": 1507.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1580,
              "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": 869
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 869
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1501
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 489.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 537.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1343
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1580,
              "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": 869
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1501
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1508.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1580,
              "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": 1580,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 489.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1545.24
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1516.8
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1343
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1501
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1507.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1524.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1508.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1508.9
            },
            {
              "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": 1580,
              "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": 1580,
              "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": 1580,
              "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": 1580
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1501
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 537.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1343
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1507.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1508.9
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1516.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1507.32
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 1064.92
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1501
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1027
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1516.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1507.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1507.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1524.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1508.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1508.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1501
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 537.2
            }
          ]
        }
      ]
    },
    {
      "description": "Barrier Ring 2 in Adapt Slim",
      "code_information": [
        {
          "code": "PX-CH-HO7815",
          "type": "CDM"
        },
        {
          "code": "A4385",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.35,
          "discounted_cash": 2.83,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.35,
              "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": 97.8,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.35,
              "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": 95,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.13
            },
            {
              "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": 95.4,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.35,
              "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": 95,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 4.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.18
            },
            {
              "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": 4.35,
              "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": 4.35,
              "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": 4.35,
              "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": 95.5,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 4.35,
              "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": 4.35,
              "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": 2.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 2.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.2
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.18
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "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": 96.5,
              "estimated_amount": 4.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 4.35,
              "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": 4.35,
              "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": 4.35,
              "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": 4.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 3.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.35,
              "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": 96,
              "estimated_amount": 4.18
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.18
            },
            {
              "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": 4.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.35,
              "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": 4.35,
              "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": 3.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.35,
              "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": 95.5,
              "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": 4.35,
              "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": 4.35,
              "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": 96,
              "estimated_amount": 4.18
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 4.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 3.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.25
            },
            {
              "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": 2.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.13
            }
          ]
        }
      ]
    },
    {
      "description": "HC Quant Pulm Perfusion W or WO Imaging",
      "code_information": [
        {
          "code": "PX-34100049",
          "type": "CDM"
        },
        {
          "code": "78597",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1002,
          "discounted_cash": 651.3,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 955.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 955.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 955.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 955.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 955.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 966.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1002,
              "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": 551.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 951.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 340.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 955.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 955.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 966.93
            },
            {
              "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": 1002,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 951.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 340.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 551.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 951.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 310.62
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 851.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 310.62
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 961.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1002,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 310.62
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 961.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 955.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 956.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 956.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1002,
              "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": 95,
              "estimated_amount": 951.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 951.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 551.1
            },
            {
              "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": 551.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 310.62
            },
            {
              "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": 651.3
            },
            {
              "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": 1002,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 955.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 956.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 979.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 310.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 955.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 955.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 955.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 966.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 956.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1002,
              "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": 851.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 966.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1002,
              "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": 95,
              "estimated_amount": 951.9
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 951.9
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 961.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 979.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 551.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1002
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 340.68
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 961.92
            },
            {
              "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": 95.4,
              "estimated_amount": 955.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 956.91
            },
            {
              "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": 1002,
              "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": 1002,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 310.62
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 310.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 951.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 956.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1002,
              "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": 1002,
              "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": 1002,
              "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": 96,
              "estimated_amount": 961.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 966.93
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 310.62,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 310.62,
              "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": 97.8,
              "estimated_amount": 979.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 551.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1002,
              "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": 1002,
              "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": 1002,
              "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": 97.8,
              "estimated_amount": 979.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 951.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 951.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 340.68
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1002,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 955.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 966.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 956.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1002,
              "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": 1002,
              "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": 1002,
              "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": 881.76
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 851.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 955.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 956.91
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 951.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 340.68
            },
            {
              "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": 1002,
              "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": 95.5,
              "estimated_amount": 956.91
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 675.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 951.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 851.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 310.62,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 310.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 551.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 310.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 955.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 955.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 966.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1002,
              "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": 1002,
              "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": 1002,
              "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": 96,
              "estimated_amount": 961.92
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 851.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 851.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 955.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 956.91
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 310.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 951.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 951.9
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 961.92
            }
          ]
        }
      ]
    },
    {
      "description": "HC Cardiac Blood Pool Mlt Study Wm Ef",
      "code_information": [
        {
          "code": "PX-34100080",
          "type": "CDM"
        },
        {
          "code": "78483",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 9035,
          "discounted_cash": 5872.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8619.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8619.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9035,
              "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": 96,
              "estimated_amount": 8673.6
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8673.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4969.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8583.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2800.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7679.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7679.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8619.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8718.78
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8673.6
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8583.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2800.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3071.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3071.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8673.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8673.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8628.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9035,
              "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": 9035,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2800.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8619.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8718.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8628.43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8836.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8583.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8619.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8628.43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8836.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 9035
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4969.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4969.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2800.85
            },
            {
              "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": 95.4,
              "estimated_amount": 8619.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8718.78
            },
            {
              "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": 9035,
              "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": 9035,
              "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": 9035,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2800.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4969.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3071.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8583.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2800.85
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3071.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8619.39
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8673.6
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8583.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8583.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3071.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8619.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8628.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9035,
              "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": 7950.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8718.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8628.43
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2800.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7679.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8583.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8673.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8619.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8718.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8628.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9035,
              "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": 97.8,
              "estimated_amount": 8836.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8583.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8583.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8583.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8583.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2800.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8619.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8619.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8628.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9035,
              "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": 9035,
              "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": 9035,
              "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": 9035,
              "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": 95,
              "estimated_amount": 8583.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8619.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8619.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8628.43
            },
            {
              "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": 4969.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8619.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8718.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8628.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9035,
              "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": 9035,
              "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": 67.4,
              "estimated_amount": 6089.59
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2800.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4969.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4969.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8836.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8619.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8619.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9035,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2800.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8619.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8718.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9035,
              "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": 9035,
              "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": 7679.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7679.75
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8583.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8583.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8619.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8628.43
            },
            {
              "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": 5872.75
            }
          ]
        }
      ]
    },
    {
      "description": "HC CT Brain W WO Contrast",
      "code_information": [
        {
          "code": "PX-35100003",
          "type": "CDM"
        },
        {
          "code": "70470",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1495,
          "discounted_cash": 971.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1495,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 463.45
            },
            {
              "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": 1495,
              "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": 822.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 463.45,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 463.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1435.2
            },
            {
              "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": 971.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1427.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1495,
              "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": 1495,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 463.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1420.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1420.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1420.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1442.68
            },
            {
              "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": 1495,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "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": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1427.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1427.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1427.73
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 463.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1435.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1435.2
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1420.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1495
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 822.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1420.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1427.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1427.73
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1495,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 463.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1442.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1495,
              "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": 95,
              "estimated_amount": 1420.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1427.73
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1435.2
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1270.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1462.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 822.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1420.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 508.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1270.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1435.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 822.25
            },
            {
              "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": 1495,
              "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": 1495,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1435.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 822.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 822.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 463.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 463.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1270.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1435.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1442.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1495,
              "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": 1495,
              "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": 1495,
              "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": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1442.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1427.73
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 463.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1462.11
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1420.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1270.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 508.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 508.3
            },
            {
              "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": 1315.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1420.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1420.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1442.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1495,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 463.45,
              "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": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1462.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1442.68
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1270.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 463.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 463.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1270.75
            },
            {
              "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": 1495,
              "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": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1427.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1495,
              "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": 1495,
              "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": 95,
              "estimated_amount": 1420.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1420.25
            },
            {
              "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": 822.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1420.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "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": 1495,
              "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": 1495,
              "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": 67.4,
              "estimated_amount": 1007.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1427.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1495,
              "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": 1495,
              "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": 1495,
              "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": 1495,
              "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": 95,
              "estimated_amount": 1420.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1462.11
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 508.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 508.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 463.45,
              "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": 1495,
              "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": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1442.68
            }
          ]
        }
      ]
    },
    {
      "description": "HC CT Maxillofacial WO Contrast",
      "code_information": [
        {
          "code": "PX-35100007",
          "type": "CDM"
        },
        {
          "code": "70486",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1535,
          "discounted_cash": 997.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1464.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1464.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1465.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1535,
              "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": 1535,
              "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": 1535,
              "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": 95,
              "estimated_amount": 1458.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1458.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1535
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 475.85
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1473.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1464.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1465.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1535,
              "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": 1304.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 844.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 521.9
            },
            {
              "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": 844.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1473.6
            },
            {
              "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": 1535,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1464.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1481.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1535,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1464.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1464.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1465.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1535,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 475.85
            },
            {
              "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": 1535,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1458.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 844.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1304.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1465.93
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 475.85
            },
            {
              "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": 1350.8
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1304.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1458.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 475.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 521.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1304.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1464.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1465.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1535,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1481.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1458.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 521.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1304.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 475.85,
              "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": 97.8,
              "estimated_amount": 1501.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 844.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1458.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 475.85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 521.9
            },
            {
              "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": 997.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1464.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1464.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1465.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1535,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 475.85
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1473.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 475.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1465.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1465.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1535,
              "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": 1535,
              "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": 1535,
              "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": 95.4,
              "estimated_amount": 1464.39
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1473.6
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1535,
              "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": 95,
              "estimated_amount": 1458.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1304.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 844.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 475.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1501.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 844.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1465.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1535,
              "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": 1535,
              "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": 95,
              "estimated_amount": 1458.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1464.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1464.39
            },
            {
              "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": 95.4,
              "estimated_amount": 1464.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1481.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1458.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1458.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1458.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 521.9
            },
            {
              "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": 1535,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1465.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1535,
              "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": 1535,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 475.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 844.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1458.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 475.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1464.39
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 475.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1481.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1481.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1481.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1481.28
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1473.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1473.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1473.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1464.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1464.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1535,
              "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": 97.8,
              "estimated_amount": 1501.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1458.25
            },
            {
              "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": 1535,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1464.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1464.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1535,
              "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": 1535,
              "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": 67.4,
              "estimated_amount": 1034.59
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 475.85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1501.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1458.25
            }
          ]
        }
      ]
    },
    {
      "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": 2369,
          "discounted_cash": 1539.85,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2260.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2260.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2286.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2262.4
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2274.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1302.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2250.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2013.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2286.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2262.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2369,
              "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": 2369,
              "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": 2369,
              "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": 2369,
              "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": 97.8,
              "estimated_amount": 2316.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1302.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2250.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2250.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2260.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2369,
              "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": 2369,
              "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": 2369,
              "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": 67.4,
              "estimated_amount": 1596.71
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2250.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2260.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2260.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2260.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2286.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2262.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2369,
              "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": 2369
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 734.39,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2274.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 734.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2260.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2260.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2262.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2369,
              "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": 96,
              "estimated_amount": 2274.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2274.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 805.46
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 805.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2262.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2262.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2369,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 734.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2260.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2286.09
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2369,
              "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": 2013.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2316.88
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 805.46
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2013.65
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 734.39,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2274.24
            },
            {
              "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": 2369,
              "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": 2369,
              "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": 1302.95
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 734.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2286.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2262.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2262.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2369,
              "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": 2369,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2250.55
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2250.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2316.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 734.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 734.39
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 734.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2286.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2250.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2250.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 805.46
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 805.46
            },
            {
              "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": 2369,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1302.95
            },
            {
              "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": 1302.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1302.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2369,
              "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": 2013.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2262.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2262.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2369,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 734.39,
              "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": 95.4,
              "estimated_amount": 2260.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1302.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2369,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 734.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 734.39
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2013.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2260.03
            },
            {
              "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": 95.4,
              "estimated_amount": 2260.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2260.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2260.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2260.03
            },
            {
              "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": 2369,
              "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": 97.8,
              "estimated_amount": 2316.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2250.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2250.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2250.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2250.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2013.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2260.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2286.09
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2274.24
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 734.39
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 734.39
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2250.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2260.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2260.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2369,
              "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": 2369,
              "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": 2084.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2250.55
            },
            {
              "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": 1539.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2369,
              "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": 96,
              "estimated_amount": 2274.24
            }
          ]
        }
      ]
    },
    {
      "description": "HC CT Lumbar Spine W WO Contrast",
      "code_information": [
        {
          "code": "PX-35200013",
          "type": "CDM"
        },
        {
          "code": "72133",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1548,
          "discounted_cash": 1006.2,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1476.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1476.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1548,
              "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": 95,
              "estimated_amount": 1470.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1470.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1470.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1315.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 479.88
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1486.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1493.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1513.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1470.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 526.32
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1315.8
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 479.88,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 479.88
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1315.8
            },
            {
              "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": 1548,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1476.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1493.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1478.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1486.08
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 479.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1493.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1548,
              "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": 1548,
              "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": 851.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 526.32
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 479.88
            },
            {
              "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": 1006.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 851.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 479.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1476.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1548
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 851.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1470.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 479.88
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 526.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1476.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1476.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1478.34
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 479.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1486.08
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1548,
              "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": 96.5,
              "estimated_amount": 1493.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1548,
              "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": 1362.24
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1486.08
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1470.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1470.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1513.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1493.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1548,
              "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": 1548,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 479.88,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1315.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1315.8
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1486.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1476.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1478.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1478.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1548,
              "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": 1548,
              "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": 1548,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 479.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1476.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1476.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1476.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1548,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 479.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1486.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1513.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 851.4
            },
            {
              "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": 851.4
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1548,
              "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": 1548,
              "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": 95,
              "estimated_amount": 1470.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1470.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1470.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1476.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1478.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1478.34
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 479.88,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1486.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1476.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1476.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1476.79
            },
            {
              "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": 95.4,
              "estimated_amount": 1476.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1478.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1548,
              "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": 851.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1470.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1548,
              "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": 1548,
              "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": 1548,
              "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": 1548,
              "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": 1548,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 526.32
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 479.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1476.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1476.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1493.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1478.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1478.34
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 1043.35
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1470.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1476.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1548,
              "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": 1548,
              "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": 95,
              "estimated_amount": 1470.6
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1315.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1470.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 526.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1493.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1478.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1548,
              "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": 97.8,
              "estimated_amount": 1513.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 851.4
            }
          ]
        }
      ]
    },
    {
      "description": "HC Cta Upper Extremity W WO Contrast",
      "code_information": [
        {
          "code": "PX-35200022",
          "type": "CDM"
        },
        {
          "code": "73206",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2543,
          "discounted_cash": 1652.95,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2426.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2426.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2454
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2543,
              "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": 2543,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2487.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2415.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2415.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2426.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2428.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2543,
              "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": 2543,
              "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": 96,
              "estimated_amount": 2441.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2543
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2161.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2415.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 788.33
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 864.62
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2161.55
            },
            {
              "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": 2543,
              "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": 2543,
              "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": 96.5,
              "estimated_amount": 2454
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2543,
              "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": 96,
              "estimated_amount": 2441.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2441.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2426.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2454
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2428.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2543,
              "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": 1398.65
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 864.62
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2441.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2415.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2426.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2543,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 788.33,
              "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": 97.8,
              "estimated_amount": 2487.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1398.65
            },
            {
              "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": 1398.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2415.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2426.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2426.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2426.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2426.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2543,
              "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": 2543,
              "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": 2161.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2454
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2428.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2428.57
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2415.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1398.65
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 788.33,
              "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": 2543,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 864.62
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2161.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2428.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2543,
              "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": 2543,
              "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": 95,
              "estimated_amount": 2415.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2415.85
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 788.33
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2441.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2426.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2426.02
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 788.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2428.57
            },
            {
              "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": 2543,
              "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": 2543,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 788.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1398.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 864.62
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 864.62
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2543,
              "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": 2161.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1398.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2415.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2415.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 788.33
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 788.33,
              "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": 96.5,
              "estimated_amount": 2454
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2454
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2543,
              "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": 67.4,
              "estimated_amount": 1713.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2426.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2487.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2428.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2543,
              "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": 2543,
              "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": 2543,
              "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": 95,
              "estimated_amount": 2415.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 788.33
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 788.33
            },
            {
              "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": 1652.95
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 788.33
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 788.33
            },
            {
              "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": 2543,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2415.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2415.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 788.33
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2441.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2487.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2426.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2426.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2428.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2428.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2543,
              "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": 95.4,
              "estimated_amount": 2426.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2426.02
            },
            {
              "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": 95.4,
              "estimated_amount": 2426.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2428.57
            },
            {
              "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": 2237.84
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2415.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2426.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2454
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2441.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1398.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2161.55
            }
          ]
        }
      ]
    },
    {
      "description": "HC Vad Insert Extracorp Single Ventricle",
      "code_information": [
        {
          "code": "PX-36000005",
          "type": "CDM"
        },
        {
          "code": "33975",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4321,
          "discounted_cash": 2808.65,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4122.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4169.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4126.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4126.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4321,
              "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": 95.4,
              "estimated_amount": 4122.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4122.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4126.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4126.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4321,
              "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": 4321,
              "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": 97.8,
              "estimated_amount": 4225.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4321,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1339.51
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3672.85
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1469.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4225.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2376.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4104.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1339.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4321,
              "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": 96.5,
              "estimated_amount": 4169.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4321,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1339.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4104.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1469.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3672.85
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1339.51
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4148.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4169.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4126.56
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4104.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4122.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4321,
              "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": 4321,
              "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": 96,
              "estimated_amount": 4148.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4169.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4126.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4321,
              "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": 4321,
              "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": 3672.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4104.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4225.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4104.95
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1339.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1339.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4122.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4122.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4126.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4225.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4104.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1469.14
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4148.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4122.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4122.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4122.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4126.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4321,
              "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": 4321,
              "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": 4321,
              "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": 4321,
              "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": 67.4,
              "estimated_amount": 2912.35
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4104.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2376.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2376.55
            },
            {
              "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": 95.4,
              "estimated_amount": 4122.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4122.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4169.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4321,
              "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": 96,
              "estimated_amount": 4148.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4148.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4122.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4122.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4169.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4321,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1339.51
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4148.16
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3672.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4104.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1339.51
            },
            {
              "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": 2808.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4122.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4122.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4122.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4122.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4321,
              "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": 95,
              "estimated_amount": 4104.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2376.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4104.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4104.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4148.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2376.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1469.14
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4104.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4104.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3672.85
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1469.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4122.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4126.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4126.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4321,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1339.51
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1339.51
            },
            {
              "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": 3802.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4169.77
            },
            {
              "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": 2376.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2376.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4104.95
            }
          ]
        }
      ]
    },
    {
      "description": "HC Vad Remove Extracorp Biventricular",
      "code_information": [
        {
          "code": "PX-36000008",
          "type": "CDM"
        },
        {
          "code": "33978",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4765,
          "discounted_cash": 3097.25,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4545.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4545.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4598.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4598.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4765,
              "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": 4765,
              "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": 4193.2
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4526.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4526.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4526.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4574.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4545.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4545.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4765,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1477.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1620.1
            },
            {
              "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": 3097.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4545.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4545.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4598.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4550.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4765,
              "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": 4765,
              "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": 4765,
              "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": 67.4,
              "estimated_amount": 3211.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4765,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4526.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4526.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4660.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4526.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1477.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4545.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4598.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4660.17
            },
            {
              "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": 95.4,
              "estimated_amount": 4545.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4598.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4765,
              "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": 4765,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1477.15
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4050.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4545.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4598.23
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1477.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2620.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2620.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2620.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4574.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4545.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4545.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4765,
              "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": 96,
              "estimated_amount": 4574.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4574.4
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1477.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4526.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4545.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4550.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4765,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4550.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4765,
              "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": 2620.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2620.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4526.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1620.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4050.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1477.15
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1620.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1477.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4574.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4545.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4765,
              "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": 95,
              "estimated_amount": 4526.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4050.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4550.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4550.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4660.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4660.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2620.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4550.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4550.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2620.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4526.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1477.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1620.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4526.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4050.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4550.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4550.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4765,
              "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": 95,
              "estimated_amount": 4526.75
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4526.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4050.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4545.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4545.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4545.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4545.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4598.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4550.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4765,
              "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": 4765,
              "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": 96,
              "estimated_amount": 4574.4
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4526.75
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4574.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1477.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1477.15
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1620.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4545.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4765,
              "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": 4765,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "Moisture Barrier Antifungal Cream Triple Care 3.25 Oz",
      "code_information": [
        {
          "code": "PX-CH-UN59450900",
          "type": "CDM"
        },
        {
          "code": "A9150",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 10.81,
          "discounted_cash": 7.03,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.81,
              "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": 10.81,
              "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": 10.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 10.81,
              "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": 10.81,
              "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": 96,
              "estimated_amount": 10.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.81,
              "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": 95,
              "estimated_amount": 10.27
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.27
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.81,
              "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": 10.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.27
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.81,
              "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": 96.5,
              "estimated_amount": 10.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.81,
              "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": 10.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 10.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.27
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.68
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.27
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.31
            },
            {
              "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": 10.81,
              "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": 97.8,
              "estimated_amount": 10.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.27
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.81,
              "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": 95.4,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.81,
              "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": 95,
              "estimated_amount": 10.27
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.19
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.68
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.35
            },
            {
              "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": 7.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 10.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95.4,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.81,
              "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": 67.4,
              "estimated_amount": 7.29
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.95
            },
            {
              "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": 5.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.68
            },
            {
              "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": 95.4,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.81,
              "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": 95,
              "estimated_amount": 10.27
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.32
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.19
            },
            {
              "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": 9.51
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.95
            }
          ]
        }
      ]
    },
    {
      "description": "HC Procedure Other",
      "code_information": [
        {
          "code": "PX-36000044",
          "type": "CDM"
        },
        {
          "code": "36000044",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1082,
          "discounted_cash": 703.3,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1032.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1033.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1032.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1023.57
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 919.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1038.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1082,
              "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": 95,
              "estimated_amount": 1027.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 335.42
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1038.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1032.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1032.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1032.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1032.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1033.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1033.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1023.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1044.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1033.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1023.57
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 335.42
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 335.42
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1027.9
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 919.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1058.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 335.42
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1027.9
            },
            {
              "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": 703.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 595.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 919.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1044.13
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1038.72
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 367.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1023.57
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 919.7
            },
            {
              "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": 95.4,
              "estimated_amount": 1032.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1032.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1044.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1033.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1033.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1023.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 595.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1027.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 335.42
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 367.88
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 335.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1058.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1027.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1027.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 335.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1032.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1058.2
            },
            {
              "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": 595.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1027.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1027.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1032.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1044.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1033.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1033.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1023.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1023.57
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1038.72
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1038.72
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1027.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1044.13
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 729.27
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1038.72
            },
            {
              "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": 952.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 595.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1027.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 335.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 595.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 595.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1027.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 919.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1044.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1044.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1023.57
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 335.42
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 335.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1032.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1032.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1023.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1023.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1023.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1023.57
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1027.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 367.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1032.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1032.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1033.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1023.57
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1038.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1032.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1032.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1032.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1023.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1032.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1023.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1023.57
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1027.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1058.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 595.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 367.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1033.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1023.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1027.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 367.88
            }
          ]
        }
      ]
    },
    {
      "description": "HC Thermodilution Cardiac Output",
      "code_information": [
        {
          "code": "PX-36000047",
          "type": "CDM"
        },
        {
          "code": "36000047",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 652,
          "discounted_cash": 423.8,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 622.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 622.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 616.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 358.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 358.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 625.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 622.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 616.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 616.79
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 619.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 622.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 622.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 622.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 622.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 616.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 616.79
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 202.12
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 554.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 622.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 629.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 616.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 616.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 358.6
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 625.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 637.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 358.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 358.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 619.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 202.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 629.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 622.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 616.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 616.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 619.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 619.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 554.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 622.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 616.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 616.79
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 202.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 625.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 622.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 622.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 616.79
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 619.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 619.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 202.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 554.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 221.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 637.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 619.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 202.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 221.68
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 221.68
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 202.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 637.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 358.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 221.68
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 221.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 629.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 629.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 622.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 616.79
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 625.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 616.79
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 625.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 619.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 554.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 625.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 622.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 629.18
            },
            {
              "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": 573.76
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 619.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 619.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 622.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 622.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 622.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 622.66
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 439.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 622.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 637.66
            },
            {
              "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": 358.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 202.12
            },
            {
              "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": 423.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 622.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 629.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 616.79
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 619.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 652,
              "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": 95,
              "estimated_amount": 619.4
            },
            {
              "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": 95.4,
              "estimated_amount": 622.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 622.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 622.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 616.79
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 202.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 622.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 622.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 622.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 622.66
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 619.4
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 554.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 619.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 202.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 622.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 629.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 616.79
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 625.92
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 202.12
            }
          ]
        }
      ]
    },
    {
      "description": "HC I and D Pilonidal Cyst Simple",
      "code_information": [
        {
          "code": "PX-36100005",
          "type": "CDM"
        },
        {
          "code": "10080",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 630,
          "discounted_cash": 409.5,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 601.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 601.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 601.65
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 598.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 616.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 535.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 214.2
            },
            {
              "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": 409.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 595.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 604.8
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 598.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 598.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 535.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 195.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 346.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 214.2
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 604.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 601.02
            },
            {
              "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": 95.4,
              "estimated_amount": 601.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 607.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 595.98
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 195.3
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 195.3
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 598.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 601.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 595.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 595.98
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 195.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 598.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 214.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 598.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 601.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 595.98
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 598.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 601.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 601.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 601.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 595.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 604.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 601.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 607.95
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 195.3
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 535.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 616.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 616.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 535.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 195.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 214.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 346.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 598.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 604.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 601.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 601.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 607.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 607.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 607.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 601.65
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 424.62
            },
            {
              "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": 346.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 598.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 601.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 601.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 601.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 595.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 601.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 601.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 595.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 630,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 195.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 214.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 604.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 607.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 595.98
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 195.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 346.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 346.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 595.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 595.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 601.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 601.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 346.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 601.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 595.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 595.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 595.98
            },
            {
              "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": 554.4
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 604.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 598.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 601.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 601.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 601.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 607.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 601.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 601.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 595.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 604.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 346.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 598.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 598.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 195.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 598.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 535.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 595.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 595.98
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 598.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 616.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 195.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 601.65
            }
          ]
        }
      ]
    },
    {
      "description": "HC I and D FB Subq Complicated",
      "code_information": [
        {
          "code": "PX-36100007",
          "type": "CDM"
        },
        {
          "code": "10121",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 960,
          "discounted_cash": 624,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 926.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 916.8
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 912
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 926.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 916.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 960,
              "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": 960,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 297.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 938.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 528
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 297.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 960,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 528
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 926.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 926.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 960,
              "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": 960,
              "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": 95,
              "estimated_amount": 912
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 926.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 916.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 960,
              "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": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 938.88
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 326.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 816
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 912
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 297.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 816
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 960,
              "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": 95,
              "estimated_amount": 912
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 816
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 528
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 528
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 912
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 326.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 960,
              "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": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 916.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 912
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 816
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 528
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 297.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 960,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 916.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 926.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 960,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 297.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 938.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 297.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 326.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 528
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 528
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 912
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 912
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 916.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 960,
              "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": 960,
              "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": 960,
              "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": 960,
              "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": 844.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 938.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 297.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 912
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 916.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 916.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 916.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 960,
              "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": 95,
              "estimated_amount": 912
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 326.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 912
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 926.4
            },
            {
              "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": 960,
              "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": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 912
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 915.84
            },
            {
              "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": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 297.6
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 647.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 960,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 297.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 297.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 816
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 326.4
            },
            {
              "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": 624
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 916.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 960,
              "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": 95,
              "estimated_amount": 912
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 912
            }
          ]
        }
      ]
    },
    {
      "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": 674,
          "discounted_cash": 438.1,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 643
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 643
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 643
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 650.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 659.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 640.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 572.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 229.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 643.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 643.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 674,
              "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": 674,
              "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": 370.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 640.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 572.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 229.16
            },
            {
              "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": 674,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 208.94
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 229.16
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 647.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 643
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 643
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 643.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 674,
              "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": 674,
              "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": 96,
              "estimated_amount": 647.04
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 674,
              "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": 674,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 208.94
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 572.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 640.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 229.16
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 208.94
            },
            {
              "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": 674,
              "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": 95.4,
              "estimated_amount": 643
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 454.28
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 572.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 208.94
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 572.9
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 647.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 643
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 643
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 643
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 643
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 650.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 674,
              "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": 674,
              "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": 95,
              "estimated_amount": 640.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 370.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 640.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 370.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 640.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 208.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 650.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 650.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 674,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 208.94
            },
            {
              "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": 674,
              "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": 370.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 647.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 650.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 674,
              "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": 674,
              "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": 95.4,
              "estimated_amount": 643
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 643
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 643
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 650.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 674,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 208.94
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 208.94
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 572.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 643.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 674,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 208.94,
              "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": 95,
              "estimated_amount": 640.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 640.3
            },
            {
              "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": 95.4,
              "estimated_amount": 643
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 650.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 674,
              "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": 674,
              "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": 95.4,
              "estimated_amount": 643
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 674,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 208.94
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 647.04
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 640.3
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 647.04
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 640.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 640.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 640.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 640.3
            },
            {
              "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": 674,
              "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": 95.4,
              "estimated_amount": 643
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 643.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 643.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 674,
              "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": 96,
              "estimated_amount": 647.04
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 640.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 659.17
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 208.94,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 674
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 659.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 643
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 643
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 643.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 643.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 674,
              "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": 593.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 659.17
            },
            {
              "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": 370.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 370.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 370.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 229.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 643.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 643.67
            },
            {
              "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": 674,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 208.94
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 208.94,
              "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": 438.1
            }
          ]
        }
      ]
    },
    {
      "description": "HC Vertebroplasty Lumbar Percutaneous W Img",
      "code_information": [
        {
          "code": "PX-36100098",
          "type": "CDM"
        },
        {
          "code": "22511",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 10607,
          "discounted_cash": 6894.55,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10119.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10119.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10235.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10129.69
            },
            {
              "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": 9334.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10119.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10182.72
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10182.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10076.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10373.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10076.65
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3288.17
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10182.72
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10182.72
            },
            {
              "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": 10607,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10119.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10235.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10235.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10607,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3288.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10119.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10119.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10119.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10235.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10235.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10129.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10607,
              "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": 10607,
              "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": 10607,
              "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": 5833.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3288.17
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9015.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10119.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10119.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10119.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10129.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10129.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10607,
              "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": 10607,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3288.17
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10076.65
            },
            {
              "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": 5833.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10076.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10076.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3288.17
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9015.95
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3288.17
            },
            {
              "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": 6894.55
            },
            {
              "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": 10607,
              "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": 10607,
              "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": 67.4,
              "estimated_amount": 7149.12
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 10607,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9015.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10607,
              "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": 95,
              "estimated_amount": 10076.65
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9015.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10373.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5833.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3288.17
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10182.72
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3288.17
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9015.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10119.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10129.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10607,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3288.17,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10076.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10373.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10119.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10129.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10607,
              "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": 96,
              "estimated_amount": 10182.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10235.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10129.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10607,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3288.17
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10182.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10076.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10076.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9015.95
            },
            {
              "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": 10607,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 10607
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10119.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10607,
              "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": 95,
              "estimated_amount": 10076.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10119.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10607,
              "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": 5833.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10235.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10129.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10607,
              "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": 95,
              "estimated_amount": 10076.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10076.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3606.38
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3606.38
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10076.65
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3606.38
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3606.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10607,
              "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": 10607,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10076.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3606.38
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3288.17,
              "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": 97.8,
              "estimated_amount": 10373.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5833.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10119.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10119.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10119.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10129.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10129.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10607,
              "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": 10607,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3288.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5833.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5833.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3288.17,
              "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": 95.4,
              "estimated_amount": 10119.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10607,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Kyphoplasty Ea Addl Thor or Lumb W Img",
      "code_information": [
        {
          "code": "PX-36100102",
          "type": "CDM"
        },
        {
          "code": "22515",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8192,
          "discounted_cash": 5324.8,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7815.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7905.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7823.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7823.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8011.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4505.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7782.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7815.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7815.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7815.17
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2539.52
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8192,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7864.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8011.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4505.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4505.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4505.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2539.52
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2785.28
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7864.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8192,
              "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": 8192,
              "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": 8192,
              "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": 95,
              "estimated_amount": 7782.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8192,
              "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": 95,
              "estimated_amount": 7782.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6963.2
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2539.52,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2539.52,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8011.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7782.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7782.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2539.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7815.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7815.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7823.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8192,
              "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": 8192,
              "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": 95,
              "estimated_amount": 7782.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6963.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7815.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7905.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7823.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8192,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2539.52
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6963.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7815.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8192,
              "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": 8192,
              "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": 95,
              "estimated_amount": 7782.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7782.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6963.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4505.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2785.28
            },
            {
              "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": 8192,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7815.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7823.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7864.32
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2539.52,
              "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": 97.8,
              "estimated_amount": 8011.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7782.4
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2785.28
            },
            {
              "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": 5324.8
            },
            {
              "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": 8192,
              "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": 95.5,
              "estimated_amount": 7823.36
            },
            {
              "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": 7208.96
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7782.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7905.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7905.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7905.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8192,
              "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": 96,
              "estimated_amount": 7864.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4505.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7782.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2785.28
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2785.28
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6963.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7905.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7823.36
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2539.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8192,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7864.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7823.36
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2539.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8192,
              "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": 8192,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7782.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2539.52
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7782.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7815.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7823.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8192,
              "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": 8192,
              "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": 95,
              "estimated_amount": 7782.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7864.32
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8192,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7815.17
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2539.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7815.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7905.28
            },
            {
              "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": 8192,
              "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": 67.4,
              "estimated_amount": 5521.41
            },
            {
              "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": 8192,
              "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": 6963.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7815.17
            },
            {
              "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": 95.4,
              "estimated_amount": 7815.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7815.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7815.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7815.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7815.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7823.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8192,
              "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": 96,
              "estimated_amount": 7864.32
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2539.52
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2539.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8192,
              "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": 8192,
              "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": 4505.6
            }
          ]
        }
      ]
    },
    {
      "description": "HC Bx Soft Tissue Upper Arm or Elbow Sup",
      "code_information": [
        {
          "code": "PX-36100108",
          "type": "CDM"
        },
        {
          "code": "24065",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2018,
          "discounted_cash": 1311.7,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1925.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1925.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1947.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2018,
              "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": 2018,
              "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": 1715.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1109.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1109.9
            },
            {
              "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": 95.4,
              "estimated_amount": 1925.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2018,
              "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": 67.4,
              "estimated_amount": 1360.13
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1937.28
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 686.12
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1917.1
            },
            {
              "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": 1311.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1973.6
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1937.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1925.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1927.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2018,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 625.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1917.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 686.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1917.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1925.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1925.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1925.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1947.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1927.19
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 625.58
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1715.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1973.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 625.58
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 625.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1927.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1927.19
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1917.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 625.58
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 686.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1715.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1109.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 625.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1925.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1925.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1925.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1925.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2018,
              "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": 2018,
              "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": 2018,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 625.58
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1917.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1925.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1925.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1927.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1927.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2018,
              "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": 2018,
              "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": 2018,
              "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": 2018,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1947.37
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1917.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 686.12
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 686.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1947.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2018,
              "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": 1109.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1917.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1715.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1925.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1947.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1927.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1927.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2018,
              "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": 2018,
              "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": 2018,
              "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": 2018,
              "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": 1109.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1109.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1937.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1109.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1917.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1917.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1917.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1937.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1925.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1925.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1925.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1947.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1927.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1927.19
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 625.58
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1917.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2018,
              "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": 1715.3
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1937.28
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1937.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1973.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1973.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1917.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 625.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1925.17
            },
            {
              "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": 1775.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1917.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1917.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 625.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1947.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2018,
              "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": 96,
              "estimated_amount": 1937.28
            }
          ]
        }
      ]
    },
    {
      "description": "HC Closed Tx Metacarpal W Manip",
      "code_information": [
        {
          "code": "PX-36100114",
          "type": "CDM"
        },
        {
          "code": "26605",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2906,
          "discounted_cash": 1888.9,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2906,
              "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": 2906,
              "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": 97.8,
              "estimated_amount": 2842.07
            },
            {
              "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": 1598.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1598.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2760.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 900.86
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 988.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2906,
              "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": 95,
              "estimated_amount": 2760.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 988.04
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 900.86
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2789.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2789.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2804.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2906,
              "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": 2906,
              "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": 2906,
              "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": 96,
              "estimated_amount": 2789.76
            },
            {
              "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": 2557.28
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2470.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2842.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1598.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 988.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2842.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1598.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2775.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2906,
              "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": 2906,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 900.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2842.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2760.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 900.86
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 900.86
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2760.7
            },
            {
              "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": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2775.23
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2760.7
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2789.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2804.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2760.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 988.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2760.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2775.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1598.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2760.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2470.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2470.1
            },
            {
              "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": 2906,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 900.86
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2789.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2775.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2775.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2906,
              "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": 67.4,
              "estimated_amount": 1958.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2906,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2760.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2804.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2775.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2906,
              "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": 95,
              "estimated_amount": 2760.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2789.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2804.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2804.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2906,
              "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": 95.5,
              "estimated_amount": 2775.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2906,
              "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": 95,
              "estimated_amount": 2760.7
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2470.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1598.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2760.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 988.04
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 900.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2775.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2775.23
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 900.86
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2760.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 900.86
            },
            {
              "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": 1888.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1598.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2760.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2804.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2775.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2906,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 900.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2804.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2906,
              "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": 2906,
              "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": 2470.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2789.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2772.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2906,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Amputation Finger or Thumb",
      "code_information": [
        {
          "code": "PX-36100116",
          "type": "CDM"
        },
        {
          "code": "26951",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1331,
          "discounted_cash": 865.15,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1259.13
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 412.61
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 412.61
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 452.54
            },
            {
              "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": 865.15
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1277.76
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1277.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1284.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1259.13
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 732.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1264.45
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1264.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1264.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1284.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1271.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "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": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1131.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 452.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1284.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1271.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1259.13
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 412.61
            },
            {
              "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": 1171.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1301.72
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 412.61
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 412.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1264.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1259.13
            },
            {
              "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 MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 412.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1301.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1301.72
            },
            {
              "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": 732.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 452.54
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1284.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1284.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1259.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1259.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1259.13
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1284.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1271.11
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 412.61
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1264.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1271.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1259.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1259.13
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 412.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1301.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1264.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1264.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 452.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1259.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1259.13
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 897.09
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1264.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 452.54
            },
            {
              "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": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1259.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1259.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1271.11
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 412.61
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1277.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1264.45
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 412.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1284.42
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1277.76
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1264.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1264.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1271.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1271.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1271.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1259.13
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1277.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1277.76
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1264.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1271.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1271.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1259.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1259.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1259.13
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1277.76
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1264.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1331,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 732.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1264.45
            }
          ]
        }
      ]
    },
    {
      "description": "HC Tenotomy Open Foot Tendon Sgl or Mult",
      "code_information": [
        {
          "code": "PX-36100125",
          "type": "CDM"
        },
        {
          "code": "28230",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1711,
          "discounted_cash": 1112.15,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1632.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1651.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1711,
              "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": 1711,
              "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": 1711,
              "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": 941.05
            },
            {
              "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": 1711,
              "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": 95.4,
              "estimated_amount": 1632.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1632.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1634.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1711,
              "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": 1711,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 530.41
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 530.41,
              "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": 1505.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 941.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1625.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1454.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1454.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 581.74
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 581.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1632.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1634.01
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1711,
              "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": 95.5,
              "estimated_amount": 1634.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1634.01
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1625.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 941.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 530.41
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 530.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 1711
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1673.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 941.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1625.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1625.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1632.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1632.29
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 530.41
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1625.45
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1454.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1625.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 581.74
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1642.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1632.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1632.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1634.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1711,
              "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": 95,
              "estimated_amount": 1625.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1651.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1642.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 581.74
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1454.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1625.45
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 530.41,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1632.29
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1625.45
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1454.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1711,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1632.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1651.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1634.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1711,
              "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": 941.05
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 530.41
            },
            {
              "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": 1711,
              "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": 95,
              "estimated_amount": 1625.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 581.74
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1625.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1711,
              "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": 1711,
              "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": 1711,
              "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": 941.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 941.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1625.45
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1642.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1651.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1673.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1673.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1634.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1711,
              "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": 1711,
              "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": 1711,
              "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": 1711,
              "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": 96,
              "estimated_amount": 1642.56
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 530.41
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1642.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 530.41
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1454.35
            },
            {
              "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": 1711,
              "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": 95.4,
              "estimated_amount": 1632.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1632.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1632.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1651.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1634.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1711,
              "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": 97.8,
              "estimated_amount": 1673.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1625.45
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 530.41,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1632.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1632.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1651.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1651.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1634.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1711,
              "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": 1711,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 530.41
            },
            {
              "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": 1711,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1632.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1632.29
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 1153.21
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1642.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1625.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 530.41
            },
            {
              "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": 1112.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1642.56
            },
            {
              "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": 95.4,
              "estimated_amount": 1632.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1634.01
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 530.41
            }
          ]
        }
      ]
    },
    {
      "description": "HC Bronchoscopy W Dilation or Fx Repair",
      "code_information": [
        {
          "code": "PX-36100138",
          "type": "CDM"
        },
        {
          "code": "31630",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 7929,
          "discounted_cash": 5153.85,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7564.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7564.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7929,
              "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": 6739.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7754.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4360.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4360.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7564.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7564.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7651.49
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7532.55
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2457.99,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2695.86
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7611.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7564.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7754.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4360.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7532.55
            },
            {
              "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": 7929,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2695.86
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2457.99
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7611.84
            },
            {
              "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": 7929,
              "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": 95.4,
              "estimated_amount": 7564.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7651.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7651.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7572.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7572.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7929,
              "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": 7929,
              "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": 7929,
              "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": 7929,
              "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": 7929,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2457.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7564.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7564.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7929,
              "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": 7929,
              "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": 67.4,
              "estimated_amount": 5344.15
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7611.84
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2457.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7564.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7929,
              "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": 7929,
              "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": 7929,
              "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": 95,
              "estimated_amount": 7532.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6739.65
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2457.99
            },
            {
              "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": 95.4,
              "estimated_amount": 7564.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7572.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7572.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7929,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2457.99
            },
            {
              "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": 7929,
              "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": 4360.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4360.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7564.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7572.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7572.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7929,
              "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": 95,
              "estimated_amount": 7532.55
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7532.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7564.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7564.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7929,
              "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": 7929,
              "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": 97.8,
              "estimated_amount": 7754.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7532.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7532.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6739.65
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2457.99,
              "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": 7929,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7651.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7572.2
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7929,
              "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": 6977.52
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7532.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4360.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7532.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2457.99
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2457.99
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2457.99
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7532.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7651.49
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2457.99
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2457.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7572.2
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6739.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7532.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7532.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2695.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7564.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7564.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7651.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7572.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7929,
              "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": 7929,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7611.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 7929
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2695.86
            },
            {
              "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": 5153.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7754.56
            },
            {
              "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": 4360.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6739.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6739.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7564.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7564.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7572.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7929,
              "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": 96,
              "estimated_amount": 7611.84
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2457.99,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7564.27
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7611.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7532.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7532.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2695.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7651.49
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7611.84
            }
          ]
        }
      ]
    },
    {
      "description": "HC Bronchoscopy W Insert Trachial Stent",
      "code_information": [
        {
          "code": "PX-36100139",
          "type": "CDM"
        },
        {
          "code": "31631",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6396,
          "discounted_cash": 4157.4,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6101.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6172.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6108.18
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1982.76
            },
            {
              "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": 6396,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6101.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6108.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6396,
              "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": 6396,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6140.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3517.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6076.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6076.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1982.76
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1982.76,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6140.16
            },
            {
              "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": 95.4,
              "estimated_amount": 6101.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6108.18
            },
            {
              "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": 6396,
              "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": 6396,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5436.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6101.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6101.78
            },
            {
              "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": 6396,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1982.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6140.16
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1982.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5436.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5436.6
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6140.16
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6076.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2174.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6101.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6396,
              "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": 6396,
              "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": 6396,
              "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": 6396,
              "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": 95,
              "estimated_amount": 6076.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6076.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2174.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6101.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6101.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6172.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6108.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6101.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6101.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6108.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6396,
              "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": 95,
              "estimated_amount": 6076.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6076.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5436.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6076.2
            },
            {
              "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": 4157.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6108.18
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6140.16
            },
            {
              "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": 6396,
              "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": 97.8,
              "estimated_amount": 6255.29
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1982.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6108.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6396,
              "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": 95,
              "estimated_amount": 6076.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6101.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6101.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6172.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6172.14
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6140.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6255.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3517.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1982.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2174.64
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1982.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6255.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3517.8
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1982.76,
              "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": 6396,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6101.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6101.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6396,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1982.76
            },
            {
              "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": 5628.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 6396
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3517.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2174.64
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6140.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6101.78
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 4310.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3517.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6396,
              "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": 6396,
              "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": 6396,
              "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": 95,
              "estimated_amount": 6076.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6101.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6172.14
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1982.76
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6076.2
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5436.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6076.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6255.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3517.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6101.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6172.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6172.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6396,
              "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": 6396,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1982.76,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6101.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6108.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6108.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6396,
              "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": 6396,
              "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": 95.5,
              "estimated_amount": 6108.18
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6076.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3517.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6076.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1982.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5436.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2174.64
            },
            {
              "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": 6396,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Reposition Previously Implanted Pacer",
      "code_information": [
        {
          "code": "PX-36100178",
          "type": "CDM"
        },
        {
          "code": "33215",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 21632,
          "discounted_cash": 14060.8,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21632,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 6705.92,
              "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": 95,
              "estimated_amount": 20550.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18387.2
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6705.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "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": 21632,
              "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": 21632,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6705.92
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7354.88
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20550.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11897.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20550.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7354.88
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18387.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20874.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21632,
              "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": 19036.16
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6705.92
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20550.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20658.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21632,
              "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": 96,
              "estimated_amount": 20766.72
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20550.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 15122
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11897.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11897.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7354.88
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7354.88
            },
            {
              "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": 14060.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20550.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20550.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20550.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6705.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20874.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11897.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20550.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6705.92
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18387.2
            },
            {
              "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": 21632,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20658.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20658.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21632,
              "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": 21632,
              "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": 21632,
              "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": 95,
              "estimated_amount": 20550.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20874.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20658.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 20766.72
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18387.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6705.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11897.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 20766.72
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 20766.72
            },
            {
              "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": 21632,
              "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": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20874.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20658.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11897.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20874.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20658.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21632,
              "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": 96,
              "estimated_amount": 20766.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20874.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21632,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6705.92
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18387.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 21156.1
            },
            {
              "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": 11897.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6705.92
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18387.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7354.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20874.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20658.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21632,
              "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": 67.4,
              "estimated_amount": 14579.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20658.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21632,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 20766.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21632,
              "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": 21632,
              "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": 21632,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6705.92
            },
            {
              "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": 21632,
              "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": 95.5,
              "estimated_amount": 20658.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21632,
              "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": 97.8,
              "estimated_amount": 21156.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20550.4
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 6705.92,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 20766.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 21156.1
            },
            {
              "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": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21632,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6705.92
            },
            {
              "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": 21632,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20658.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21632,
              "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": 21632,
              "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": 97.8,
              "estimated_amount": 21156.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20550.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20550.4
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20550.4
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 6705.92,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Reposition Previously Impl Cvs Electrode",
      "code_information": [
        {
          "code": "PX-36100188",
          "type": "CDM"
        },
        {
          "code": "33226",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 21632,
          "discounted_cash": 14060.8,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20874.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20658.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20658.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21632,
              "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": 18387.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 21156.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11897.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18387.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20658.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21632,
              "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": 21632,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6705.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20550.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6705.92
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20550.4
            },
            {
              "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": 21632,
              "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": 11897.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7354.88
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7354.88
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6705.92
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 20766.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20658.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20874.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 21156.1
            },
            {
              "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": 11897.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20550.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6705.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 21156.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20550.4
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 21632,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20658.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21632,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 15122
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21632,
              "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": 21632,
              "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": 21632,
              "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": 21632,
              "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": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21632,
              "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": 96,
              "estimated_amount": 20766.72
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 21632,
              "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": 95,
              "estimated_amount": 20550.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11897.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7354.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 21156.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20550.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18387.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21632,
              "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": 96,
              "estimated_amount": 20766.72
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6705.92
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7354.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20874.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20658.56
            },
            {
              "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": 21632,
              "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": 21632,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20550.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20874.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21632,
              "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": 67.4,
              "estimated_amount": 14579.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11897.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18387.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 20766.72
            },
            {
              "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": 21632,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 6705.92,
              "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": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "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": 19036.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20550.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6705.92
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20550.4
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 6705.92,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20658.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21632,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6705.92
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 20766.72
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18387.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11897.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6705.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20550.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20550.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6705.92
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7354.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20874.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20874.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21632,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 6705.92,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20550.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20658.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21632,
              "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": 21632,
              "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": 96,
              "estimated_amount": 20766.72
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6705.92
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20550.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11897.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20550.4
            },
            {
              "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": 14060.8
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 20766.72
            },
            {
              "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": 95.4,
              "estimated_amount": 20636.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20874.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20658.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20658.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21632,
              "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": 21632,
              "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": 18387.2
            }
          ]
        }
      ]
    },
    {
      "description": "HC Rem and Replace Pacer Pulse Gen Single",
      "code_information": [
        {
          "code": "PX-36100189",
          "type": "CDM"
        },
        {
          "code": "33227",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 20170,
          "discounted_cash": 13110.5,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19242.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19242.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20170,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19161.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19242.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20170,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6252.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19363.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 20170
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19363.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 19726.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19161.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19363.2
            },
            {
              "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": 20170,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19242.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19464.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19262.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19262.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20170,
              "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": 20170,
              "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": 95,
              "estimated_amount": 19161.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20170,
              "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": 96,
              "estimated_amount": 19363.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19161.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19161.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6252.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6857.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17144.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6252.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19242.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19242.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19242.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19262.35
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6252.7
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 6252.7,
              "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": 95.4,
              "estimated_amount": 19242.18
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 20170,
              "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": 11093.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11093.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6252.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17144.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6857.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19464.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20170,
              "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": 67.4,
              "estimated_amount": 13594.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11093.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19161.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19161.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19242.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19242.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19464.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19464.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19262.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20170,
              "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": 20170,
              "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": 95,
              "estimated_amount": 19161.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19262.35
            },
            {
              "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": 17749.6
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17144.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11093.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6252.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6857.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6857.8
            },
            {
              "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": 13110.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19161.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19161.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6252.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19161.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19242.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19242.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20170,
              "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": 20170,
              "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": 20170,
              "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": 20170,
              "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": 20170,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19363.2
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19161.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 19726.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11093.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17144.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 6252.7,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 6252.7,
              "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": 96,
              "estimated_amount": 19363.2
            },
            {
              "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": 20170,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19242.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19242.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19262.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19262.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20170,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6252.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19242.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 19726.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20170,
              "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": 95.4,
              "estimated_amount": 19242.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19262.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20170,
              "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": 97.8,
              "estimated_amount": 19726.26
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6857.8
            },
            {
              "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": 20170,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11093.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6252.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20170,
              "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": 96,
              "estimated_amount": 19363.2
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19161.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19242.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19464.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19464.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19464.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19262.35
            },
            {
              "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": 20170,
              "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": 20170,
              "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": 95,
              "estimated_amount": 19161.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6252.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19242.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19262.35
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17144.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11093.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17144.5
            }
          ]
        }
      ]
    },
    {
      "description": "HC Insert Icd Generator Only Dual",
      "code_information": [
        {
          "code": "PX-36100192",
          "type": "CDM"
        },
        {
          "code": "33230",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 23817,
          "discounted_cash": 15481.05,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22721.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 22983.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23817,
              "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": 95,
              "estimated_amount": 22626.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 23293.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13099.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13099.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22626.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22721.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 22983.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22745.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23817,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7383.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22626.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13099.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22626.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22721.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22745.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22745.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23817,
              "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": 95.4,
              "estimated_amount": 22721.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 22983.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22745.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22745.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13099.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8097.78
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 22864.32
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8097.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22721.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23817,
              "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": 23817,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7383.27
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20244.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22626.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22626.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8097.78
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20244.45
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7383.27
            },
            {
              "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": 15481.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22721.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22721.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 22983.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22745.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 22864.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22721.42
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7383.27
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22626.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22626.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22626.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7383.27
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7383.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 23293.03
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22626.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20244.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22721.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23817,
              "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": 23817,
              "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": 23817,
              "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": 96,
              "estimated_amount": 22864.32
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22626.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 23293.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22626.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 22864.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22721.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22721.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22721.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22745.24
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 22864.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22745.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23817,
              "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": 13099.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8097.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13099.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8097.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 22983.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23817,
              "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": 96,
              "estimated_amount": 22864.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22626.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7383.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20244.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22721.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 22983.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 22983.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23817,
              "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": 23817,
              "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": 67.4,
              "estimated_amount": 16052.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22721.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22721.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23817,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22721.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23817,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7383.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 23293.03
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7383.27
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 22864.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22721.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23817,
              "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": 23817,
              "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": 20958.96
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7383.27
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22626.15
            },
            {
              "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": 95.4,
              "estimated_amount": 22721.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22745.24
            },
            {
              "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": 23817,
              "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": 13099.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22745.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23817,
              "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": 20244.45
            }
          ]
        }
      ]
    },
    {
      "description": "HC Unlisted Procedure Cardiac Surgery",
      "code_information": [
        {
          "code": "PX-36100216",
          "type": "CDM"
        },
        {
          "code": "33999",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1450,
          "discounted_cash": 942.5,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1383.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1383.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1418.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1418.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1377.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 493
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1383.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1399.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1384.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1384.75
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1392
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1450,
              "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": 1450,
              "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": 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": "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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1232.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1418.1
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1377.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1377.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1377.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 449.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1383.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1384.75
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1392
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1392
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1383.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1399.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1399.25
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1383.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1383.3
            },
            {
              "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 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 [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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1377.5
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1392
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1418.1
            },
            {
              "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": "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 MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 449.5
            },
            {
              "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": 95,
              "estimated_amount": 1377.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1377.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 493
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1377.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1383.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1383.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1399.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1384.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1384.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 977.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1377.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 449.5
            },
            {
              "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": 942.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1383.3
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 449.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1392
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1232.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1383.3
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 449.5
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 797.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1377.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1383.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1384.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1384.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1392
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 493
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1384.75
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1377.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1377.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1383.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1383.3
            },
            {
              "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 449.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1377.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 493
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1383.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1399.25
            },
            {
              "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": "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": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1377.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 449.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 449.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 449.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 797.5
            },
            {
              "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": 95.4,
              "estimated_amount": 1383.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1399.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1384.75
            },
            {
              "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": "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 493
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1392
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1383.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1383.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1399.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1384.75
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 449.5
            }
          ]
        }
      ]
    },
    {
      "description": "HC Intro Needle or Intracatheter Vein",
      "code_information": [
        {
          "code": "PX-36100244",
          "type": "CDM"
        },
        {
          "code": "36000",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 605,
          "discounted_cash": 393.25,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 577.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 577.17
            },
            {
              "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": 605,
              "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": 96,
              "estimated_amount": 580.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 591.69
            },
            {
              "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": 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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 332.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 574.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 580.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 577.78
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 574.75
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 332.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 574.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 187.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 605,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 205.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 577.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 577.78
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 514.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 583.83
            },
            {
              "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 574.75
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 574.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 574.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 187.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 205.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 187.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 205.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": "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": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 407.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 591.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 577.17
            },
            {
              "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": 95.4,
              "estimated_amount": 577.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 577.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 577.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 577.78
            },
            {
              "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": "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": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 577.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 583.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 577.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 577.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 583.83
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 187.55
            },
            {
              "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": 532.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 591.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 574.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 187.55
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 577.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 577.17
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 187.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 187.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 577.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 577.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 577.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 577.78
            },
            {
              "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": "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 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": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 580.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 187.55
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 580.8
            },
            {
              "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": 393.25
            },
            {
              "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": "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 580.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 574.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 574.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 583.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 583.83
            },
            {
              "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/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 605,
              "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": 95.4,
              "estimated_amount": 577.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 577.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 583.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 577.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 577.78
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 580.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 577.17
            },
            {
              "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 UMR OPTIONS [625335]",
              "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 ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 187.55
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 574.75
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 574.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 574.75
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 205.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 205.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 580.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 332.75
            },
            {
              "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 [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 514.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 187.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 577.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 577.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 577.17
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 574.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 577.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 583.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 591.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 574.75
            }
          ]
        }
      ]
    },
    {
      "description": "HC Introduction Catheter Inf or Sup Vena Cava",
      "code_information": [
        {
          "code": "PX-36100247",
          "type": "CDM"
        },
        {
          "code": "36010",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1670,
          "discounted_cash": 1085.5,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1593.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1593.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1611.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1594.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1670,
              "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": 67.4,
              "estimated_amount": 1125.58
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1586.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1633.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1586.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 567.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1419.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1419.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 517.7
            },
            {
              "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": 1670,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1593.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1611.55
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1603.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 918.5
            },
            {
              "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": 918.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 517.7,
              "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": 1670,
              "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": 1670,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1593.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1594.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1670,
              "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": 96,
              "estimated_amount": 1603.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1593.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1593.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1670,
              "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": 1670,
              "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": 97.8,
              "estimated_amount": 1633.26
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1419.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1586.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 517.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 517.7,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1594.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1586.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 567.8
            },
            {
              "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": 95.4,
              "estimated_amount": 1593.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1593.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1611.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1594.85
            },
            {
              "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": 1670,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 517.7
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1586.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1593.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1593.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1670,
              "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": 1670,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 517.7
            },
            {
              "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": 1670,
              "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": 95,
              "estimated_amount": 1586.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1419.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1586.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1586.5
            },
            {
              "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": 1085.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1633.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 918.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 567.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1586.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1611.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1611.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1594.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1670,
              "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": 1670,
              "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": 95.5,
              "estimated_amount": 1594.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1670,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 517.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1603.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 567.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1593.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1593.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1611.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1670,
              "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": 1670,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1586.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1586.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1594.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1670,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 517.7
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 517.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1603.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1593.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1611.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1670,
              "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": 1670,
              "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": 1670,
              "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": 1670,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 517.7,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 517.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 517.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1603.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1593.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1594.85
            },
            {
              "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": 1469.6
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1419.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1419.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1633.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 918.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 918.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 918.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1586.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 918.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1586.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 567.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1670,
              "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": 1670,
              "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": 95,
              "estimated_amount": 1586.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1593.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1593.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1593.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1594.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1594.85
            },
            {
              "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": 1670,
              "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": 96,
              "estimated_amount": 1603.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1593.18
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 517.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1603.2
            }
          ]
        }
      ]
    },
    {
      "description": "HC Sel Cath Plc Int Crtd Angio Intrcrnl Art",
      "code_information": [
        {
          "code": "PX-36100266",
          "type": "CDM"
        },
        {
          "code": "36224",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 12148,
          "discounted_cash": 7896.2,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11589.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11589.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11722.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11601.34
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 8187.75
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11540.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6681.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10325.8
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11662.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11601.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12148,
              "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": 12148,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3765.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11540.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3765.88
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4130.32
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4130.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11880.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11540.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10325.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11589.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11589.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11589.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12148,
              "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": 95.4,
              "estimated_amount": 11589.19
            },
            {
              "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": 12148,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11880.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6681.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6681.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3765.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 12148
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6681.4
            },
            {
              "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": 6681.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3765.88
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11540.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11662.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11589.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11589.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11589.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11589.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11601.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11601.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12148,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3765.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11662.08
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10325.8
            },
            {
              "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": 12148,
              "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": 95.5,
              "estimated_amount": 11601.34
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11540.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11722.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12148,
              "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": 12148,
              "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": 12148,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3765.88
            },
            {
              "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": 7896.2
            },
            {
              "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": 12148,
              "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": 95.4,
              "estimated_amount": 11589.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11722.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11722.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11601.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11601.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11880.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11722.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12148,
              "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": 12148,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11540.6
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10325.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11589.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11722.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11601.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11601.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12148,
              "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": 12148,
              "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": 10690.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6681.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11540.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11540.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11540.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4130.32
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3765.88,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4130.32
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11540.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11540.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3765.88,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11589.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12148,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3765.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11662.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11662.08
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3765.88,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11589.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6681.4
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11662.08
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10325.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4130.32
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11540.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3765.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11589.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11722.82
            },
            {
              "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": 12148,
              "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": 12148,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3765.88
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 12148,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10325.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11601.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12148,
              "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": 12148,
              "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": 95.4,
              "estimated_amount": 11589.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11589.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11589.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12148,
              "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": 97.8,
              "estimated_amount": 11880.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11540.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3765.88
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11662.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12148,
              "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": 95,
              "estimated_amount": 11540.6
            },
            {
              "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": 12148,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Sel Cath Plc Subclv Art Angio Vertebral Art",
      "code_information": [
        {
          "code": "PX-36100267",
          "type": "CDM"
        },
        {
          "code": "36225",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4494,
          "discounted_cash": 2921.1,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4494,
              "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": 4494,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1393.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 4494
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4269.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1393.14,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4314.24
            },
            {
              "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": 4494,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2471.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4269.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1393.14
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4494,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4269.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4336.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4291.77
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4269.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4291.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4291.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4291.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4494,
              "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": 4494,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1393.14
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1393.14,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3819.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2471.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4269.3
            },
            {
              "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": 2921.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4314.24
            },
            {
              "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": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4291.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4494,
              "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": 96,
              "estimated_amount": 4314.24
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4269.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "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": 4494,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4269.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4269.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2471.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4269.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1393.14
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1393.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4336.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4494,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1393.14
            },
            {
              "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": 3954.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4291.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4494,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1393.14
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 3028.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4314.24
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3819.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4336.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4336.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4291.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4291.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4494,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1527.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1527.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4395.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2471.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2471.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3819.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4494,
              "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": 4494,
              "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": 95,
              "estimated_amount": 4269.3
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4314.24
            },
            {
              "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": 2471.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1527.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1393.14,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4395.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4494,
              "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": 4494,
              "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": 4494,
              "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": 96,
              "estimated_amount": 4314.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4269.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1527.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4336.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4494,
              "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": 4494,
              "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": 4494,
              "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": 2471.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4269.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4269.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1393.14
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3819.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3819.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4336.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4494,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1393.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4336.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4291.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4291.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4494,
              "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": 4494,
              "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": 97.8,
              "estimated_amount": 4395.13
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1393.14
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4269.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3819.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1527.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4395.13
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4314.24
            },
            {
              "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": 4494,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Sel Cath Plc Vertebral Art Angio Vertebral Art",
      "code_information": [
        {
          "code": "PX-36100268",
          "type": "CDM"
        },
        {
          "code": "36226",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4494,
          "discounted_cash": 2921.1,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4291.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4291.77
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3819.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 4494
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4269.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1393.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3819.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4336.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4291.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4291.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4494,
              "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": 4494,
              "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": 3954.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4269.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1527.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4314.24
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4314.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1393.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1393.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4494,
              "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": 4494,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1393.14
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4314.24
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1393.14,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4269.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4291.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4291.77
            },
            {
              "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": 4494,
              "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": 67.4,
              "estimated_amount": 3028.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4269.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4494,
              "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": 4494,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4314.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4336.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4336.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4494,
              "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": 4494,
              "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": 96,
              "estimated_amount": 4314.24
            },
            {
              "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": 4494,
              "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": 2471.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1527.96
            },
            {
              "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": 4494,
              "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": 4494,
              "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": 2471.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4291.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4291.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4494,
              "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": 4494,
              "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": 4494,
              "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": 95,
              "estimated_amount": 4269.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2471.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2471.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4269.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1393.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4336.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4336.71
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4494,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4269.3
            },
            {
              "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": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4291.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4494,
              "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": 96,
              "estimated_amount": 4314.24
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3819.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4395.13
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3819.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4269.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4395.13
            },
            {
              "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": 2471.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4269.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1393.14
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4314.24
            },
            {
              "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": 4494,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4336.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4494,
              "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": 95,
              "estimated_amount": 4269.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1527.96
            },
            {
              "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": 2921.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4494,
              "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": 4494,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1393.14,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4395.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4494,
              "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": 95,
              "estimated_amount": 4269.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2471.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4269.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4269.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1527.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4291.77
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1393.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2471.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3819.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1527.96
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3819.9
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1393.14,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1393.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4336.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4494,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1393.14
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4269.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4395.13
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1393.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4287.28
            }
          ]
        }
      ]
    },
    {
      "description": "HC Endovenous Ablation Ext Rf 1st Vein",
      "code_information": [
        {
          "code": "PX-36100283",
          "type": "CDM"
        },
        {
          "code": "36475",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3247,
          "discounted_cash": 2110.55,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3097.64
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1006.57
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3084.65
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3084.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1006.57
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1103.98
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3117.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3097.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3247,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1006.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 3247
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1785.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1785.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2759.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3084.65
            },
            {
              "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": 3247,
              "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": 1785.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1006.57
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1103.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3100.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3133.36
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 2188.48
            },
            {
              "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": 3247,
              "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": 95,
              "estimated_amount": 3084.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1006.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3175.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3084.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3097.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3247,
              "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": 95.4,
              "estimated_amount": 3097.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3247,
              "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": 96,
              "estimated_amount": 3117.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3097.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3247,
              "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": 3247,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3084.65
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1006.57
            },
            {
              "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": 3247,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3175.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3084.65
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1006.57
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3117.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3097.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3133.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3133.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3100.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3247,
              "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": 3247,
              "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": 3247,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1006.57,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2759.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3175.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3097.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3097.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3097.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3100.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3100.89
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3117.12
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3084.65
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3117.12
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2759.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3097.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3097.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3100.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3247,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1006.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3084.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3084.65
            },
            {
              "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": 1785.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3084.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2759.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3097.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3133.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3133.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3100.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3247,
              "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": 3247,
              "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": 95,
              "estimated_amount": 3084.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2759.95
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1103.98
            },
            {
              "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": 95.4,
              "estimated_amount": 3097.64
            },
            {
              "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": 3247,
              "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": 95.5,
              "estimated_amount": 3100.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3247,
              "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": 2857.36
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1006.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1785.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1785.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1006.57
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1006.57,
              "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": 3247,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3097.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3133.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3247,
              "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": 3247,
              "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": 2759.95
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1006.57,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1103.98
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3117.12
            },
            {
              "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": 2110.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3175.57
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1103.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3097.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3133.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3100.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3247,
              "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": 95,
              "estimated_amount": 3084.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3097.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3100.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3100.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3247,
              "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": 3247,
              "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": 96,
              "estimated_amount": 3117.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1785.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3097.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3097.64
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3247,
              "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": 95,
              "estimated_amount": 3084.65
            }
          ]
        }
      ]
    },
    {
      "description": "HC Cath Umbilical Vein",
      "code_information": [
        {
          "code": "PX-36100289",
          "type": "CDM"
        },
        {
          "code": "36510",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 184,
          "discounted_cash": 119.6,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 175.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 177.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 184,
              "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": 96,
              "estimated_amount": 176.64
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 57.04
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 156.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 175.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 175.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 184,
              "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": 101.2
            },
            {
              "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": 101.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 174.8
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 62.56
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 176.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 175.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 175.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 184,
              "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": 96,
              "estimated_amount": 176.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 175.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 175.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 177.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 175.72
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 62.56
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 176.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 179.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 101.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 174.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 57.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 184,
              "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": 95,
              "estimated_amount": 174.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 175.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 184,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 176.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 184,
              "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": 101.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 176.64
            },
            {
              "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": 119.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 175.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 175.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 177.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 179.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 179.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 57.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 175.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 175.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 175.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 175.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 101.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 156.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 179.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 184,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 174.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 174.8
            },
            {
              "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": 95.4,
              "estimated_amount": 175.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 177.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 177.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 175.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 184,
              "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": 184,
              "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": 184,
              "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": 67.4,
              "estimated_amount": 124.02
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 176.64
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 156.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 156.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 175.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 175.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 177.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 177.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 175.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 184,
              "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": 161.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 175.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 184,
              "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": 184,
              "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": 95,
              "estimated_amount": 174.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 175.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 175.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 175.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 175.72
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 57.04
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 174.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 101.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 174.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 174.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 156.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 101.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 57.04
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 57.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 184,
              "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": 184,
              "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": 184,
              "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": 184,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 57.04
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 174.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 175.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 175.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 184,
              "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": 95,
              "estimated_amount": 174.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 57.04
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 62.56
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 57.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 175.72
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 57.04
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 174.8
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 174.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 174.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 62.56
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 62.56
            }
          ]
        }
      ]
    },
    {
      "description": "HC Insert Cvc Tunneled Age 5 or Older",
      "code_information": [
        {
          "code": "PX-36100295",
          "type": "CDM"
        },
        {
          "code": "36558",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 10800,
          "discounted_cash": 7020,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10303.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10303.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10422
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10314
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10800,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3348
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10303.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10422
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10800,
              "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": 10800,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 10800
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10260
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10260
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10260
            },
            {
              "payer_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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10260
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9180
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10260
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10303.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10303.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10303.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10800,
              "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": 95,
              "estimated_amount": 10260
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10260
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10303.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10303.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10314
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10314
            },
            {
              "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 MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3348
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5940
            },
            {
              "payer_name": "HUMANA [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": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10800,
              "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": 10800,
              "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": 9504
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3348
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10260
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10260
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3348,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3672
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10368
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10303.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10368
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10303.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10303.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5940
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5940
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10562.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3348
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3672
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3348,
              "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": 10800,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10303.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10422
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10314
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10314
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10314
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10800,
              "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": 10800,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3348
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 7279.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10562.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3348
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3672
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3348
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10303.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10422
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10800,
              "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": 10800,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10260
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10303.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10314
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10800,
              "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": 96,
              "estimated_amount": 10368
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10368
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 10800,
              "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": 10800,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10422
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10314
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10800,
              "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": 10800,
              "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": 95,
              "estimated_amount": 10260
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10562.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5940
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10260
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3672
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10303.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10303.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10303.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10422
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10800,
              "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": 10800,
              "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": 5940
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10800,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3348
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10368
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10260
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10314
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10800,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3348
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10562.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10260
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10368
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10422
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10314
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10800,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10303.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10368
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 10800,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3348,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9180
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10800,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3348
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3672
            }
          ]
        }
      ]
    },
    {
      "description": "HC Thrombolysis Cerebral IV Infusion",
      "code_information": [
        {
          "code": "PX-36100336",
          "type": "CDM"
        },
        {
          "code": "37195",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 329,
          "discounted_cash": 213.85,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "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 CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "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": 67.4,
              "estimated_amount": 221.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 321.76
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 111.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "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": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 312.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.99
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 312.55
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.99
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 317.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 317.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 314.2
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 314.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 314.2
            },
            {
              "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": "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": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 312.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.99
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 111.86
            },
            {
              "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 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": "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "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 HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 317.49
            },
            {
              "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/GOLDEN RULE [625270]",
              "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": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 312.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.99
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 312.55
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 111.86
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 312.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 312.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 111.86
            },
            {
              "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": 213.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 317.49
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 321.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 312.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 312.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 317.49
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 317.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 314.2
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.99
            },
            {
              "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": 289.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.99
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 180.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 312.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 314.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.99
            },
            {
              "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": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 317.49
            },
            {
              "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 STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "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": 180.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "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": 95.4,
              "estimated_amount": 313.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 314.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 312.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 312.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.99
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 315.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 312.55
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 313.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 314.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 321.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 321.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 111.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 314.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 314.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 314.2
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.99
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 312.55
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 279.65
            }
          ]
        }
      ]
    },
    {
      "description": "HC Transcath Rtrvl Intrvas FB W Img",
      "code_information": [
        {
          "code": "PX-36100337",
          "type": "CDM"
        },
        {
          "code": "37197",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 10772,
          "discounted_cash": 7001.8,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10276.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10276.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10394.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10394.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10772,
              "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": 10772,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3339.32
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3339.32
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10233.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5924.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5924.6
            },
            {
              "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": 10772,
              "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": 95.4,
              "estimated_amount": 10276.49
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 7260.33
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10233.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10535.02
            },
            {
              "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": 5924.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10233.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 10772
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10233.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3662.48
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10233.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10341.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10276.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10394.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10394.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10772,
              "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": 10772,
              "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": 10772,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3339.32
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9156.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10287.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10772,
              "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": 97.8,
              "estimated_amount": 10535.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5924.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5924.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10233.4
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3662.48
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9156.2
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3339.32,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10394.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10287.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10772,
              "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": 95,
              "estimated_amount": 10233.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10233.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10276.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10772,
              "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": 9479.36
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9156.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10287.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10772,
              "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": 10772,
              "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": 10772,
              "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": 97.8,
              "estimated_amount": 10535.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5924.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3662.48
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10233.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3339.32
            },
            {
              "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": 7001.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3339.32
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3339.32,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10276.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10276.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10287.26
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10341.12
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 10772,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10233.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10341.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10276.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10394.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10287.26
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3339.32,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10276.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10276.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5924.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3662.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10535.02
            },
            {
              "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": 10772,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10276.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10287.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10233.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10233.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3339.32
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3339.32
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3662.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10772,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3339.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10276.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10287.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10772,
              "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": 10772,
              "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": 9156.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10276.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10287.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10772,
              "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": 96,
              "estimated_amount": 10341.12
            },
            {
              "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": 10772,
              "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": 95,
              "estimated_amount": 10233.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9156.2
            },
            {
              "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": 10772,
              "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": 95,
              "estimated_amount": 10233.4
            },
            {
              "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": 95.4,
              "estimated_amount": 10276.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10772,
              "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": 10772,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10341.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10276.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10276.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10276.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10394.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10287.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10287.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10772,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3339.32
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10341.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10276.49
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10341.12
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9156.2
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3339.32
            }
          ]
        }
      ]
    },
    {
      "description": "HC Injection Tracer for Sentinel Node ID",
      "code_information": [
        {
          "code": "PX-36100378",
          "type": "CDM"
        },
        {
          "code": "38792",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2424,
          "discounted_cash": 1575.6,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2312.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2314.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2424,
              "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": 97.8,
              "estimated_amount": 2370.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2424,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 751.44
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2302.8
            },
            {
              "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": 1333.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1333.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 751.44
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2060.4
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 751.44,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 824.16
            },
            {
              "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": 2424,
              "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": 95,
              "estimated_amount": 2302.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2314.92
            },
            {
              "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": 2424,
              "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": 2424,
              "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": 2424,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2312.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2312.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2339.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2424,
              "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": 95,
              "estimated_amount": 2302.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2302.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 824.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1333.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2302.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 751.44
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 824.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2312.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2314.92
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2302.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 751.44
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 824.16
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2327.04
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2424,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2312.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2312.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2339.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2339.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2424,
              "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": 96,
              "estimated_amount": 2327.04
            },
            {
              "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": 2133.12
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2302.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2312.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2312.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2339.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2424,
              "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": 95,
              "estimated_amount": 2302.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2060.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2302.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2312.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2312.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2302.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 751.44
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 824.16
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2327.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2312.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2314.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2424,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 751.44
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 1633.78
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2424,
              "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": 95.4,
              "estimated_amount": 2312.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2312.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2314.92
            },
            {
              "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": 2424,
              "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": 97.8,
              "estimated_amount": 2370.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2370.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 2424
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2370.67
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2060.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2314.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2314.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2424,
              "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": 2424,
              "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": 2424,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 751.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2302.8
            },
            {
              "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": 1575.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2312.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2312.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2424,
              "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": 95,
              "estimated_amount": 2302.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1333.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2424,
              "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": 1333.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1333.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2060.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2339.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2314.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2424,
              "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": 96,
              "estimated_amount": 2327.04
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2060.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2327.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2302.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 751.44
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2302.8
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 751.44,
              "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": 96.5,
              "estimated_amount": 2339.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2339.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2314.92
            },
            {
              "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": 2424,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2327.04
            },
            {
              "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": 2424,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2060.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2312.5
            },
            {
              "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": 95.4,
              "estimated_amount": 2312.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2424,
              "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": 2424,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2327.04
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 751.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2312.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2314.92
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 751.44
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 751.44,
              "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": 1333.2
            }
          ]
        }
      ]
    },
    {
      "description": "HC Biliary Endo Perc With Biopsy",
      "code_information": [
        {
          "code": "PX-36100404",
          "type": "CDM"
        },
        {
          "code": "47553",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3926,
          "discounted_cash": 2551.9,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3745.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3926,
              "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": 3926,
              "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": 67.4,
              "estimated_amount": 2646.12
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3729.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2159.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3337.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1217.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3745.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3745.4
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1217.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3839.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3839.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3839.63
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2551.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3337.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3788.59
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3768.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3749.33
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3337.1
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3729.7
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3337.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2159.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2159.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3729.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1217.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1217.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3729.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3729.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1334.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3745.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3745.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3745.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3745.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3788.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3749.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3926,
              "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": 3926,
              "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": 2159.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3729.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3768.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3745.4
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3768.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3729.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3729.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1217.06
            },
            {
              "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": 2159.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1334.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3926,
              "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": 97.8,
              "estimated_amount": 3839.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3729.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3745.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3745.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3926,
              "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": 3926,
              "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": 96,
              "estimated_amount": 3768.96
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3729.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3788.59
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1217.06
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1334.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2159.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3729.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3745.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3745.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3788.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3749.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3926,
              "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": 3926,
              "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": 96,
              "estimated_amount": 3768.96
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3337.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3745.4
            },
            {
              "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": 95.4,
              "estimated_amount": 3745.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3926,
              "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": 2159.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3749.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3749.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3749.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3926,
              "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": 3454.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1217.06
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1334.84
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3729.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3745.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3749.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3926,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1217.06
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3729.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3926,
              "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": 95,
              "estimated_amount": 3729.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1334.84
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1217.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3788.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3749.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3926,
              "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": 3926,
              "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": 3926,
              "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": 95.4,
              "estimated_amount": 3745.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3745.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3749.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3749.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3926,
              "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": 96,
              "estimated_amount": 3768.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3745.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3788.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3788.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3926,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1217.06
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3768.96
            }
          ]
        }
      ]
    },
    {
      "description": "HC Injection Air or Contrast Peritoneal Cavity",
      "code_information": [
        {
          "code": "PX-36100424",
          "type": "CDM"
        },
        {
          "code": "49400",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3639,
          "discounted_cash": 2365.35,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3471.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3471.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3471.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3511.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3639,
              "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": 97.8,
              "estimated_amount": 3558.94
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3093.15
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1237.26
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1237.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3471.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3471.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3511.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3475.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3475.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3639,
              "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": 3639,
              "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": 96,
              "estimated_amount": 3493.44
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3639,
              "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": 2001.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1237.26
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3093.15
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1128.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3511.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3475.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3475.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3639,
              "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": 3639,
              "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": 3639,
              "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": 95.4,
              "estimated_amount": 3471.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3639,
              "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": 3639,
              "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": 67.4,
              "estimated_amount": 2452.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3457.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3093.15
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1128.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2001.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1237.26
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3493.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3471.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3471.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3511.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3639,
              "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": 3639,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1128.09
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3493.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3558.94
            },
            {
              "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": 2001.45
            },
            {
              "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": 3639,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1128.09
            },
            {
              "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": 3202.32
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3457.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3475.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3639,
              "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": 3639,
              "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": 97.8,
              "estimated_amount": 3558.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3558.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2001.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3457.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3457.05
            },
            {
              "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": 3639,
              "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": 95.4,
              "estimated_amount": 3471.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3639,
              "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": 2001.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3471.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3511.64
            },
            {
              "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": 3639,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1128.09
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3493.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3475.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3639,
              "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": 3639,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1128.09
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1128.09,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3457.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2001.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2001.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3457.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3093.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3493.44
            },
            {
              "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": 3639,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3471.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3457.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3457.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3471.61
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3493.44
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3639,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3511.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3475.25
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3457.05
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3457.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1128.09
            },
            {
              "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": 2365.35
            },
            {
              "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": 95.4,
              "estimated_amount": 3471.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3471.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3475.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3639,
              "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": 95,
              "estimated_amount": 3457.05
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1128.09,
              "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": 96,
              "estimated_amount": 3493.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3457.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1128.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3471.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3471.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3511.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3475.25
            },
            {
              "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": 3639,
              "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": 3093.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3471.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3475.25
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3093.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1128.09
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1237.26
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1128.09,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3471.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3639,
              "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": 95,
              "estimated_amount": 3457.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1128.09
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3457.05
            }
          ]
        }
      ]
    },
    {
      "description": "HC Place G Tube Percutaneous W Fluoro",
      "code_information": [
        {
          "code": "PX-36100432",
          "type": "CDM"
        },
        {
          "code": "49440",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6736,
          "discounted_cash": 4378.4,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6426.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6432.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6736,
              "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": 5927.68
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6399.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3704.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2088.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6500.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6432.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2088.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6426.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6500.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6736,
              "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": 6736,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2088.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6426.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6426.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6500.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6500.24
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2088.16
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 4540.06
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6466.56
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6399.2
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5725.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3704.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6399.2
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6466.56
            },
            {
              "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": 95.4,
              "estimated_amount": 6426.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6432.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6736,
              "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": 6736,
              "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": 6736,
              "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": 95,
              "estimated_amount": 6399.2
            },
            {
              "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": 4378.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6500.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6500.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6432.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6426.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6500.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6736,
              "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": 6736,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2088.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6399.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2290.24
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6466.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6426.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6432.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6736,
              "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": 6736,
              "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": 96,
              "estimated_amount": 6466.56
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6736,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6399.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6399.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5725.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6736,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2088.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6426.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6432.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6736,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2088.16,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2088.16
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5725.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2290.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6587.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6399.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6426.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6426.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6736,
              "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": 97.8,
              "estimated_amount": 6587.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6587.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 6736
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3704.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2088.16
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2290.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5725.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2088.16,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6426.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6426.14
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6399.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6426.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6432.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6466.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6466.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6399.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6399.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2290.24
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6399.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2290.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6426.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6426.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6736,
              "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": 6736,
              "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": 5725.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3704.8
            },
            {
              "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": 3704.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2088.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6587.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3704.8
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2088.16,
              "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": 6736,
              "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": 6736,
              "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": 96,
              "estimated_amount": 6466.56
            },
            {
              "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": 6736,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2088.16
            },
            {
              "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": 6736,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6426.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6399.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6399.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5725.6
            },
            {
              "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": 6736,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6426.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6426.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6432.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6432.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6432.88
            },
            {
              "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": 6736,
              "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": 3704.8
            },
            {
              "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": 6736,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Rem and Repl Transnephric Ureteral Stent",
      "code_information": [
        {
          "code": "PX-36100447",
          "type": "CDM"
        },
        {
          "code": "50387",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 10499,
          "discounted_cash": 6824.35,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10016.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10016.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10016.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10026.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10499,
              "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": 10499,
              "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": 10499,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3254.69
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 10499,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9974.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5774.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10016.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10016.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10016.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10499,
              "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": 96,
              "estimated_amount": 10079.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5774.45
            },
            {
              "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": 6824.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9974.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3569.66
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3254.69,
              "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": 96.5,
              "estimated_amount": 10131.54
            },
            {
              "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": 5774.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9974.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9974.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3254.69
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3254.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10016.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10016.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10026.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10499,
              "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": 5774.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5774.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3569.66
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3569.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10016.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10016.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10499,
              "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": 10499,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3254.69
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9974.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10499,
              "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": 10499,
              "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": 67.4,
              "estimated_amount": 7076.33
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 10499,
              "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": 5774.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3254.69
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8924.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10131.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10026.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10499,
              "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": 97.8,
              "estimated_amount": 10268.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10268.02
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8924.15
            },
            {
              "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": 10499,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10131.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10499,
              "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": 10499,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3254.69,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10131.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10131.54
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8924.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9974.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3254.69
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3569.66
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9974.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9974.05
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10079.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 8873
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9974.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8924.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10016.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10016.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10016.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10499,
              "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": 10499,
              "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": 10499,
              "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": 8924.15
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3254.69,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3254.69
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10079.04
            },
            {
              "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": 10499,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10016.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10026.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10499,
              "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": 95,
              "estimated_amount": 9974.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10016.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5774.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10026.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10499,
              "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": 96,
              "estimated_amount": 10079.04
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10079.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9974.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10079.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10026.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10026.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10026.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10026.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10079.04
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9974.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10268.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9974.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3569.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10268.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10026.55
            },
            {
              "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": 10499,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8924.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10016.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10131.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10131.54
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3254.69
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3254.69
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3254.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10016.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10016.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10499,
              "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": 9239.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9974.05
            }
          ]
        }
      ]
    },
    {
      "description": "Asp or Inj Renal Cyst or Pelvis",
      "code_information": [
        {
          "code": "PX-36100449",
          "type": "CDM"
        },
        {
          "code": "50390",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2819,
          "discounted_cash": 1832.35,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2689.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2689.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2689.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2692.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2819,
              "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": 95,
              "estimated_amount": 2678.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 873.89
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 958.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2678.05
            },
            {
              "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": 2819,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2689.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2689.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2689.33
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2678.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2396.15
            },
            {
              "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": 2819,
              "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": 1832.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2689.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2819,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 873.89,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2689.33
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 1900.01
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2706.24
            },
            {
              "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": 1550.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2678.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 873.89
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 873.89
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2396.15
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 873.89
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2706.24
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2706.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2756.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2678.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2396.15
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 873.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2689.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2692.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2692.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2819,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 873.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2756.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1550.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2720.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2692.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2692.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2819,
              "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": 2819,
              "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": 2819,
              "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": 96,
              "estimated_amount": 2706.24
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2819,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2689.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2689.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2720.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2678.05
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 873.89,
              "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": 1550.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2678.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 873.89
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 958.46
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 873.89,
              "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": 95.4,
              "estimated_amount": 2689.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2720.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2819,
              "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": 2819,
              "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": 2480.72
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2706.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2689.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2692.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2819,
              "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": 96,
              "estimated_amount": 2706.24
            },
            {
              "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": 2819,
              "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": 2819,
              "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": 2396.15
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 958.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1550.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1550.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2678.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2689.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2720.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2720.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2819,
              "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": 2819,
              "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": 2819,
              "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": 95,
              "estimated_amount": 2678.05
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2396.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 2819
            },
            {
              "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": 2819,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2689.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2692.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2692.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2819,
              "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": 95.4,
              "estimated_amount": 2689.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2692.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2819,
              "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": 2819,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 873.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1550.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2678.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 958.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2689.33
            },
            {
              "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": 95.4,
              "estimated_amount": 2689.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2692.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2819,
              "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": 2396.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2756.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1550.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2678.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2678.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 958.46
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2706.24
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 873.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2720.34
            },
            {
              "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": 2819,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 873.89
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2678.05
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2678.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2756.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2720.34
            }
          ]
        }
      ]
    },
    {
      "description": "HC Rf Ablation Renal Tumors Percutaneous",
      "code_information": [
        {
          "code": "PX-36100458",
          "type": "CDM"
        },
        {
          "code": "50592",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6624,
          "discounted_cash": 4305.6,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6319.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6319.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6319.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6325.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6624,
              "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": 6624,
              "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": 6624,
              "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": 96,
              "estimated_amount": 6359.04
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6359.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6392.16
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2053.44
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2053.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3643.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2053.44
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2053.44
            },
            {
              "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": 6624,
              "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": 95,
              "estimated_amount": 6292.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2252.16
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2053.44,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6392.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6624,
              "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": 6624,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6325.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6624,
              "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": 6624,
              "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": 96,
              "estimated_amount": 6359.04
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6359.04
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6292.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3643.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2053.44
            },
            {
              "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": 6624,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5630.4
            },
            {
              "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": 95.4,
              "estimated_amount": 6319.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6325.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6325.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3643.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6292.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5630.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6319.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6392.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6624,
              "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": 6624,
              "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": 5630.4
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2252.16
            },
            {
              "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": 4305.6
            },
            {
              "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": 6624,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 6624
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3643.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6292.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5630.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6624,
              "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": 95,
              "estimated_amount": 6292.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6319.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6325.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6624,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2053.44
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6292.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6319.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6319.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6392.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6624,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2252.16
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6292.8
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2252.16
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6359.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6325.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6624,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2053.44
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6292.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6478.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6292.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2053.44
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2053.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6319.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6319.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6392.16
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6292.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6478.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6392.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6325.92
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 4464.58
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5630.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6292.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6292.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5630.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6319.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6325.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6325.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6624,
              "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": 96,
              "estimated_amount": 6359.04
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6624,
              "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": 6624,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6478.27
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2053.44,
              "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": 3643.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6292.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6292.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2053.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6319.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6319.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6319.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6319.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6319.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6359.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6319.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6319.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6392.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6325.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6624,
              "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": 6624,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2053.44,
              "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": 3643.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2252.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6624,
              "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": 6624,
              "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": 5829.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6478.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3643.2
            }
          ]
        }
      ]
    },
    {
      "description": "HC Cervical Puncture",
      "code_information": [
        {
          "code": "PX-36100503",
          "type": "CDM"
        },
        {
          "code": "61050",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 108,
          "discounted_cash": 70.2,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 104.22
            },
            {
              "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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 102.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 105.62
            },
            {
              "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": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 103.14
            },
            {
              "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 102.6
            },
            {
              "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": 59.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 102.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 105.62
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 102.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 104.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108,
              "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": 108,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 105.62
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 91.8
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 102.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 36.72
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 36.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.03
            },
            {
              "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": 95.4,
              "estimated_amount": 103.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 103.14
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 36.72
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 104.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 104.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 108,
              "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": 95.04
            },
            {
              "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": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 91.8
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 36.72
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.48
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 103.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 104.22
            },
            {
              "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": 108,
              "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": 96,
              "estimated_amount": 103.68
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 103.68
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.48
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 102.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 102.6
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 91.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.48
            },
            {
              "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": 70.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 103.68
            },
            {
              "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": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 102.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 103.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 103.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 103.14
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.48
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 72.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 59.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 105.62
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 102.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 103.14
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.48
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 103.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 102.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.03
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.03
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 103.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 103.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 103.14
            },
            {
              "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 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 POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 103.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 102.6
            },
            {
              "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": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 104.22
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 103.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108,
              "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": 108,
              "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": 95,
              "estimated_amount": 102.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 104.22
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 102.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 102.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 36.72
            }
          ]
        }
      ]
    },
    {
      "description": "HC Perc Lysis of Adhesions Mult Sessns 1 Day",
      "code_information": [
        {
          "code": "PX-36100515",
          "type": "CDM"
        },
        {
          "code": "62264",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 7738,
          "discounted_cash": 5029.7,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7382.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7382.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7467.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7738,
              "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": 96,
              "estimated_amount": 7428.48
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2398.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7351.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2398.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7382.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7467.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7389.79
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2398.78
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7428.48
            },
            {
              "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": 5029.7
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2398.78
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2398.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7467.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7389.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7738,
              "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": 95.4,
              "estimated_amount": 7382.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7738,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2630.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7738,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2398.78
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2630.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7382.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7382.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7738,
              "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": 7738,
              "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": 95,
              "estimated_amount": 7351.1
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7351.1
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7351.1
            },
            {
              "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": 95.4,
              "estimated_amount": 7382.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7389.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7389.79
            },
            {
              "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": 7738,
              "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": 7738,
              "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": 6809.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7382.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7382.05
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2398.78
            },
            {
              "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": 4255.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7351.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7351.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2398.78
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7351.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7351.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7382.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7738,
              "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": 7738,
              "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": 7738,
              "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": 95,
              "estimated_amount": 7351.1
            },
            {
              "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": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7467.17
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7428.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7467.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7738,
              "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": 97.8,
              "estimated_amount": 7567.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7567.76
            },
            {
              "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 HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7351.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7351.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2398.78
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7428.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7567.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2630.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7389.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7738,
              "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": 7738,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2398.78
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7428.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7567.76
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2630.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7382.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7382.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7738,
              "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": 7738,
              "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": 95,
              "estimated_amount": 7351.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7382.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7382.05
            },
            {
              "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": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7389.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7389.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7738,
              "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": 4255.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7351.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7428.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7382.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7467.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7389.79
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6577.3
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6577.3
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7382.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7382.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7467.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7389.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7738,
              "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": 67.4,
              "estimated_amount": 5215.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7428.48
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7351.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2630.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7382.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7389.79
            }
          ]
        }
      ]
    },
    {
      "description": "HC Spinal Puncture Lumbar Therapeutic WO Img",
      "code_information": [
        {
          "code": "PX-36100519",
          "type": "CDM"
        },
        {
          "code": "62272",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2234,
          "discounted_cash": 1452.1,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2131.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2133.47
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 692.54
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 759.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2133.47
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1228.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2184.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2122.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2122.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2131.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2131.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2131.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2133.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2133.47
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 692.54
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2144.64
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2144.64
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 1505.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2122.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 692.54
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 692.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2131.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2234,
              "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": 2234,
              "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": 1228.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 692.54
            },
            {
              "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": 1452.1
            },
            {
              "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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1898.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2131.24
            },
            {
              "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2122.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2184.85
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 692.54
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2144.64
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2122.3
            },
            {
              "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": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2131.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2131.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2133.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2133.47
            },
            {
              "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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2122.3
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1898.9
            },
            {
              "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": 1228.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2122.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2155.81
            },
            {
              "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": "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 692.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2131.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2131.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2131.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2131.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2155.81
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1228.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 759.56
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2144.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2122.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 759.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2155.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2155.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2234,
              "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": 2234,
              "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": 2234,
              "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": 96,
              "estimated_amount": 2144.64
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2131.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2131.24
            },
            {
              "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": 95.4,
              "estimated_amount": 2131.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2131.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1228.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2155.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2155.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2133.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2133.47
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2122.3
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2122.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2122.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2122.3
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2155.81
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2184.85
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 692.54
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 759.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2131.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2133.47
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2144.64
            },
            {
              "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": 1965.92
            },
            {
              "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 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 CHOICE [625225]",
              "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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 692.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2184.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2122.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2122.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 692.54
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 759.56
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2144.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2131.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2133.47
            },
            {
              "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": 2234,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Perc Implant Neurostim Electrode Array",
      "code_information": [
        {
          "code": "PX-36100537",
          "type": "CDM"
        },
        {
          "code": "63650",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 24800,
          "discounted_cash": 16120,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23659.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23932
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23684
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24800,
              "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": 24800,
              "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": 24800,
              "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": 21824
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23560
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23684
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13640
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 16120
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21080
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7688
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 24800,
              "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": 95.4,
              "estimated_amount": 23659.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23932
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21080
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23659.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23560
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7688
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7688
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8432
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8432
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23659.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23659.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23659.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23659.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23684
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7688
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 23808
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23560
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13640
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13640
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8432
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24800,
              "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": 96,
              "estimated_amount": 23808
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 23808
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23659.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23932
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24800,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7688
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7688
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13640
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23560
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 24254.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23560
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21080
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23932
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24800,
              "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": 67.4,
              "estimated_amount": 16715.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 24254.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23560
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23560
            },
            {
              "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": 24800,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23684
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 23808
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 24800,
              "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": 95.4,
              "estimated_amount": 23659.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23659.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23684
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24800,
              "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": 24800,
              "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": 95,
              "estimated_amount": 23560
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23560
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21080
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 7688,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23659.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23932
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24800,
              "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": 95,
              "estimated_amount": 23560
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 24800
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7688
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8432
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21080
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 23808
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23659.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23659.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23684
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24800,
              "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": 95,
              "estimated_amount": 23560
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21080
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23659.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23659.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23659.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23932
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23684
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24800,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7688
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 7688,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7688
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23659.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24800,
              "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": 24800,
              "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": 95,
              "estimated_amount": 23560
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13640
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13640
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 23808
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 24800,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 24254.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 24254.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23560
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8432
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23932
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24800,
              "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": 24800,
              "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": 96,
              "estimated_amount": 23808
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24800,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7688
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 24800,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23659.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23684
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23684
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23684
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24800,
              "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": 24800,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 7688,
              "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": 13640
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23560
            }
          ]
        }
      ]
    },
    {
      "description": "Injection Anes/Steroid Femoral Nerve Single",
      "code_information": [
        {
          "code": "PX-36100553",
          "type": "CDM"
        },
        {
          "code": "64447",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1939,
          "discounted_cash": 1260.35,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1849.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1851.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1939,
              "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": 1939,
              "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": 95,
              "estimated_amount": 1842.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1066.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1842.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1849.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1849.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1849.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1939,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 601.09
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 1306.89
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1842.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1842.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1842.05
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 601.09,
              "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": 1066.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1861.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1849.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1849.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1871.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1939,
              "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": 1939,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 601.09
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1861.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1871.14
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1648.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1842.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 1939
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1842.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1842.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1648.15
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 659.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1851.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1939,
              "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": 97.8,
              "estimated_amount": 1896.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1066.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1842.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1648.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1842.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1849.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1849.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1871.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1939,
              "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": 1939,
              "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": 1939,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1849.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1939,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 659.26
            },
            {
              "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": 1939,
              "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": 1066.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 601.09
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 601.09,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 601.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1871.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1851.75
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1861.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1896.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1066.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 659.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1849.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1849.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1849.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1849.81
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1861.44
            },
            {
              "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": 1939,
              "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": 1939,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 601.09
            },
            {
              "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": 1706.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1849.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1851.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 601.09
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 601.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1066.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 601.09
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 659.26
            },
            {
              "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": 1260.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1849.81
            },
            {
              "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": 95.4,
              "estimated_amount": 1849.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1851.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1851.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1939,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 601.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1939,
              "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": 1939,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1871.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1851.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1851.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1939,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1849.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1849.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1871.14
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 601.09,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1896.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1896.34
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1648.15
            },
            {
              "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": 1939,
              "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": 1066.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1842.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 659.26
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1648.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1861.44
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1861.44
            },
            {
              "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": 1939,
              "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": 96,
              "estimated_amount": 1861.44
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1842.05
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1842.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1871.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1939,
              "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": 1939,
              "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": 1939,
              "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": 95.5,
              "estimated_amount": 1851.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1851.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1939,
              "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": 1648.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1842.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 601.09
            }
          ]
        }
      ]
    },
    {
      "description": "HC Injection Anes Facet Joint Lum or Sacr W Img 2nd Addl",
      "code_information": [
        {
          "code": "PX-36100565",
          "type": "CDM"
        },
        {
          "code": "64494",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1392,
          "discounted_cash": 904.8,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1327.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1327.97
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 431.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1336.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1322.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1322.4
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 473.28
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 473.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1327.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1327.97
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1322.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1322.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 431.52
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 431.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1327.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1329.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1329.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1392,
              "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": 1392,
              "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": 1392,
              "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": 67.4,
              "estimated_amount": 938.21
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1322.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1329.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1329.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 765.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1322.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 473.28
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1336.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 765.6
            },
            {
              "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": 904.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1343.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1329.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1392,
              "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": 1392,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 431.52
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1322.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 765.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1183.2
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 431.52,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1343.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1329.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1327.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1343.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1392,
              "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": 1392,
              "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": 1392,
              "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": 1224.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1361.38
            },
            {
              "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": 765.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1322.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1183.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1183.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1361.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 431.52
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 473.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1327.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1361.38
            },
            {
              "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": 1392,
              "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": 1392,
              "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": 1392,
              "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": 95.4,
              "estimated_amount": 1327.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1343.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1329.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1329.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1392,
              "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": 1392,
              "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": 96,
              "estimated_amount": 1336.32
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1183.2
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1183.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 765.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1322.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1322.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 431.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 765.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1336.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1327.97
            },
            {
              "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": 95.4,
              "estimated_amount": 1327.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1327.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1343.28
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1336.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1361.38
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 431.52,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1327.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1343.28
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 431.52
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1322.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1392,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 765.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1327.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1329.36
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 473.28
            },
            {
              "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": 1392,
              "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": 96.5,
              "estimated_amount": 1343.28
            },
            {
              "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": 1392,
              "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": 1392,
              "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": 95,
              "estimated_amount": 1322.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1322.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1322.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1327.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1327.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1329.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1392,
              "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": 1392,
              "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": 1392,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 431.52,
              "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": 1392,
              "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": 96,
              "estimated_amount": 1336.32
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1183.2
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1336.32
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1392,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1327.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1327.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1327.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1392,
              "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": 1392,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 431.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 431.52
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 431.52
            }
          ]
        }
      ]
    },
    {
      "description": "HC Dest Neurolytic Plantar Nerve",
      "code_information": [
        {
          "code": "PX-36100580",
          "type": "CDM"
        },
        {
          "code": "64632",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2080,
          "discounted_cash": 1352,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1984.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1986.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2080,
              "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": 2080,
              "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": 97.8,
              "estimated_amount": 2034.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1144
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 644.8
            },
            {
              "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": 95.4,
              "estimated_amount": 1984.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1984.32
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 644.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1996.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1986.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2080,
              "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": 96,
              "estimated_amount": 1996.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1984.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1984.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1986.4
            },
            {
              "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": 2080,
              "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": 2080,
              "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": 1144
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 707.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 707.2
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 644.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1986.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2080,
              "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": 2080,
              "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": 2080,
              "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": 1830.4
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1976
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1976
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 644.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1984.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1984.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2007.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2080,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 644.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1984.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1144
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1144
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 644.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2034.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1768
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1768
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1984.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1984.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2080,
              "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": 95,
              "estimated_amount": 1976
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1768
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2007.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2007.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2007.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1986.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2080,
              "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": 1768
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1984.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1986.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2034.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2080,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1976
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1976
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1976
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1768
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1352
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1984.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2080,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 644.8
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 1401.92
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1976
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1976
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 707.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1996.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2007.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2034.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1996.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1144
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1976
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1984.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1984.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2007.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2007.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1986.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2080,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1996.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1144
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1144
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1984.32
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 644.8
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 707.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1986.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2080,
              "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": 2080,
              "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": 96,
              "estimated_amount": 1996.8
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1976
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1984.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1984.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1984.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1986.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1986.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2080,
              "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": 2080,
              "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": 96,
              "estimated_amount": 1996.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1976
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 644.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 707.2
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 644.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1976
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1976
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1976
            }
          ]
        }
      ]
    },
    {
      "description": "HC Dest Neurolytic Facet Joint Lumb or Sacr W Img Sgl",
      "code_information": [
        {
          "code": "PX-36100583",
          "type": "CDM"
        },
        {
          "code": "64635",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2249,
          "discounted_cash": 1461.85,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2145.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2170.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2249,
              "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": 2249,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 697.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1236.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 697.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2170.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2170.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2147.8
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2136.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2136.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 697.19
            },
            {
              "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": 2249,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2145.55
            },
            {
              "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": 95.4,
              "estimated_amount": 2145.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2170.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2147.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2159.04
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 697.19,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2145.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2145.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2145.55
            },
            {
              "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": 2249,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 697.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2199.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1236.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2136.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1911.65
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 697.19,
              "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": 95,
              "estimated_amount": 2136.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 697.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2145.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2145.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2170.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2147.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2147.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2249,
              "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": 96,
              "estimated_amount": 2159.04
            },
            {
              "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": 2249,
              "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": 1979.12
            },
            {
              "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": 1236.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1911.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1911.65
            },
            {
              "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": 2249,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2170.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2249,
              "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": 96,
              "estimated_amount": 2159.04
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2136.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2145.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2145.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2145.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2249,
              "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": 95,
              "estimated_amount": 2136.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 764.66
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2159.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1236.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2136.55
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2159.04
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2136.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 2249
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2136.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2159.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2249,
              "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": 2249,
              "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": 95.4,
              "estimated_amount": 2145.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2170.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2147.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2249,
              "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": 2249,
              "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": 1236.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2136.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2136.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1911.65
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 697.19
            },
            {
              "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": 2249,
              "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": 97.8,
              "estimated_amount": 2199.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2136.55
            },
            {
              "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": 1461.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2147.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2249,
              "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": 96,
              "estimated_amount": 2159.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2145.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2147.8
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2136.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2199.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2145.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2147.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2249,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 764.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2145.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2249,
              "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": 2249,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 697.19
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2249,
              "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": 97.8,
              "estimated_amount": 2199.52
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 764.66
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 764.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1236.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1236.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 697.19
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 697.19,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2145.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2147.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2249,
              "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": 2249,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 697.19
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1911.65
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1911.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 697.19
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 764.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2145.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2145.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2147.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2249,
              "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": 2249,
              "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": 67.4,
              "estimated_amount": 1515.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2136.55
            }
          ]
        }
      ]
    },
    {
      "description": "HC Translum Peripheral Atherectomy Brachiocephalic",
      "code_information": [
        {
          "code": "PX-36100613",
          "type": "CDM"
        },
        {
          "code": "0237T",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 23984,
          "discounted_cash": 15589.6,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22880.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23144.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22784.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22880.74
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 23024.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 23024.64
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22784.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 23456.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 23024.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 23456.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8154.56
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20386.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23144.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23984,
              "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": 95,
              "estimated_amount": 22784.8
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 23024.64
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20386.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22904.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22904.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22904.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23984,
              "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": 67.4,
              "estimated_amount": 16165.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 23456.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13191.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22784.8
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8154.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13191.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 23024.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22880.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22880.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 23456.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22784.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22880.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22880.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23144.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23984,
              "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": 21105.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22880.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22880.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23144.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22904.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13191.2
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 23024.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13191.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8154.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8154.56
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20386.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7435.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23144.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22904.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22904.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22904.72
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 23024.64
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22784.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22784.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22784.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7435.04
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7435.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22880.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22880.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23984,
              "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": 23984,
              "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": 23984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7435.04
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7435.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22784.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22784.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20386.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13191.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22784.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7435.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22904.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23984,
              "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": 23984,
              "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": 23984,
              "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": 23984,
              "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": 20386.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13191.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22880.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22904.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7435.04
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22784.8
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8154.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7435.04
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7435.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22880.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22880.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22880.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23144.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7435.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22880.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22904.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23984,
              "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": 23984,
              "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": 95,
              "estimated_amount": 22784.8
            },
            {
              "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": 15589.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22880.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22880.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22880.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23144.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23984,
              "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": 23984,
              "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": 23984,
              "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": 13191.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22784.8
            }
          ]
        }
      ]
    },
    {
      "description": "HC Fresh Frozen Plasma 1 Unit",
      "code_information": [
        {
          "code": "PX-39000008",
          "type": "CDM"
        },
        {
          "code": "P9017",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 242,
          "discounted_cash": 157.3,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 230.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 230.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 231.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 231.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 231.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 242,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 229.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 233.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 242,
              "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": 205.7
            },
            {
              "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": 133.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 242
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 133.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 229.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.02
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 82.28
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 229.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 233.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 231.11
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.02
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 242,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 232.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 230.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 230.87
            },
            {
              "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": 212.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 236.68
            },
            {
              "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": 242,
              "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": 133.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 205.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 233.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 242,
              "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": 67.4,
              "estimated_amount": 163.11
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 232.32
            },
            {
              "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": 242,
              "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": 95,
              "estimated_amount": 229.9
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.02,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 230.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 230.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 230.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 231.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 242,
              "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": 95,
              "estimated_amount": 229.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 230.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 230.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 230.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 242,
              "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": 242,
              "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": 95,
              "estimated_amount": 229.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 133.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.02
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 205.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 236.68
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 82.28
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 232.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 230.87
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 232.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 236.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 133.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 229.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 229.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.02
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 82.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 230.87
            },
            {
              "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": 95.4,
              "estimated_amount": 230.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 230.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 231.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 242,
              "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": 242,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.02
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 205.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.02,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 232.32
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 232.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 230.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 233.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 242,
              "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": 242,
              "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": 242,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 233.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 242,
              "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": 96,
              "estimated_amount": 232.32
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 229.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 230.87
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.02
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 82.28
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 229.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 205.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 233.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 233.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 242,
              "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": 242,
              "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": 95,
              "estimated_amount": 229.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.02
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 82.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 231.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 242,
              "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": 242,
              "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": 242,
              "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": 242,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 230.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 230.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 231.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 231.11
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 75.02,
              "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": 95,
              "estimated_amount": 229.9
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 205.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 236.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 133.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 133.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 229.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 231.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 242,
              "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": 242,
              "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": 95,
              "estimated_amount": 229.9
            },
            {
              "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": 157.3
            }
          ]
        }
      ]
    },
    {
      "description": "Catheter External Latex Intermediate 32mm Standard Wr",
      "code_information": [
        {
          "code": "PX-CH-HO9609",
          "type": "CDM"
        },
        {
          "code": "A4349",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.91,
          "discounted_cash": 1.24,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.91,
              "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": 67.4,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 1.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.81
            },
            {
              "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": 1.91,
              "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": 1.91,
              "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": 1.91,
              "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": 95,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.91,
              "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": 97.8,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.83
            },
            {
              "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": 1.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.59
            },
            {
              "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": 1.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 1.91,
              "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": 1.91,
              "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": 1.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 95.4,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.91,
              "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": 1.91,
              "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": 1.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 97.8,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.81
            },
            {
              "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": 95.4,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.91,
              "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": 1.91,
              "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": 95,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.91,
              "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": 1.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.5,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.91,
              "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": 97.8,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.91,
              "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": 96,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.5,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.91,
              "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": 1.91,
              "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": 96,
              "estimated_amount": 1.83
            },
            {
              "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": 1.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.91
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.83
            }
          ]
        }
      ]
    },
    {
      "description": "HC Mammogram Diag Bilat Digital W Cad",
      "code_information": [
        {
          "code": "PX-40100004",
          "type": "CDM"
        },
        {
          "code": "77066",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1049,
          "discounted_cash": 681.85,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1000.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1000.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1001.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1007.04
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 996.55
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 891.65
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 325.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1000.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1000.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1000.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1012.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1049,
              "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": 1049,
              "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": 576.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 996.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 996.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 325.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 891.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1000.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1001.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1001.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1001.8
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 891.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 891.65
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 325.19
            },
            {
              "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": 681.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 576.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1049,
              "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": 1049,
              "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": 95,
              "estimated_amount": 996.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1007.04
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1049,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1012.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1049,
              "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": 1049,
              "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": 1049,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 325.19
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1049,
              "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": 95,
              "estimated_amount": 996.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 356.66
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 356.66
            },
            {
              "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": 576.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 576.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 891.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1000.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1000.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1012.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1001.8
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 325.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 996.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 996.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1012.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1049,
              "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": 1049,
              "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": 1049,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 325.19,
              "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": 95.4,
              "estimated_amount": 1000.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1000.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1049,
              "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": 96,
              "estimated_amount": 1007.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1025.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1025.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 576.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 325.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 996.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1000.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1012.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1001.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1001.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1049,
              "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": 95,
              "estimated_amount": 996.55
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 996.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 576.95
            },
            {
              "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": 95.4,
              "estimated_amount": 1000.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1001.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1001.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1049,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1007.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1000.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 325.19
            },
            {
              "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": 1049,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 325.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 996.55
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 325.19,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1007.04
            },
            {
              "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": 1049,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1000.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1012.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1049,
              "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": 923.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 996.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 996.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1025.92
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 325.19
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 356.66
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 325.19,
              "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": 1049,
              "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": 1049,
              "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": 96,
              "estimated_amount": 1007.04
            },
            {
              "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": 1049,
              "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": 95.4,
              "estimated_amount": 1000.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1000.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1000.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1012.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1001.8
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 325.19
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 356.66
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 356.66
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 996.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1000.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1049,
              "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": 67.4,
              "estimated_amount": 707.03
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1007.04
            },
            {
              "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": 1049,
              "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": 1049
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1025.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 576.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 891.65
            }
          ]
        }
      ]
    },
    {
      "description": "\"Pad Bladder Control 4\"\" X 14-1/2 Ultra + Absorb\"",
      "code_information": [
        {
          "code": "PX-CH-KN1130A",
          "type": "CDM"
        },
        {
          "code": "A4520",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.15,
          "discounted_cash": 0.1,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.15,
              "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": 0.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.14
            },
            {
              "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": 0.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.15,
              "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": 0.15,
              "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": 0.15,
              "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": 95,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.15,
              "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": 95,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.14
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.13
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.15,
              "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": 96.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.15,
              "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": 0.15,
              "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": 0.15,
              "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": 95,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.05
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.14
            },
            {
              "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": 0.08
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.15,
              "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": 97.8,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.14
            },
            {
              "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": 95.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.15,
              "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": 0.15,
              "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": 0.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.15,
              "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": 0.15,
              "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": 0.13
            },
            {
              "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": 0.13
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 67.4,
              "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": 96,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.05
            }
          ]
        }
      ]
    },
    {
      "description": "Non-Adherent Drsg Impregnated Curity 3 in X 8 In",
      "code_information": [
        {
          "code": "PX-CH-KN6113",
          "type": "CDM"
        },
        {
          "code": "A6223",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.48,
          "discounted_cash": 0.96,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.42
            },
            {
              "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": "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": "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": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.41
            },
            {
              "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": 1.48,
              "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": 1.48,
              "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 ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 96,
              "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": 95,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.41
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.5
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.45
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.41
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.43
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "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": 96,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.41
            },
            {
              "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.41
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.41
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95.5,
              "estimated_amount": 1.41
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.41
            },
            {
              "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": "BUCKEYE COMMUNITY 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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.43
            },
            {
              "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": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 1.3
            },
            {
              "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": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.41
            },
            {
              "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/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 MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46,
              "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": 95.4,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.43
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.45
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 1.48,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 1.48,
              "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": 1.48,
              "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": 97.8,
              "estimated_amount": 1.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 1.48,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46
            }
          ]
        }
      ]
    },
    {
      "description": "HC US Chest",
      "code_information": [
        {
          "code": "PX-40200003",
          "type": "CDM"
        },
        {
          "code": "76604",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 681,
          "discounted_cash": 442.65,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 649.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 649.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 657.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 657.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 681,
              "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": 681,
              "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": 681,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 578.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 578.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 666.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 374.55
            },
            {
              "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": 442.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 649.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 649.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 650.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 681,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 211.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 374.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 578.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 211.11,
              "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": 97.8,
              "estimated_amount": 666.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 666.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 650.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 650.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 681,
              "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": 95.4,
              "estimated_amount": 649.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 657.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 650.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 681,
              "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": 681,
              "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": 374.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 646.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 231.54
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 231.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 681
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 211.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 649.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 649.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 657.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 681,
              "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": 95,
              "estimated_amount": 646.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 646.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 646.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 211.11
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 646.95
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 211.11,
              "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": 681,
              "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": 681,
              "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": 681,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 211.11
            },
            {
              "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": 681,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 657.17
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 211.11,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 653.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 646.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 646.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 231.54
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 211.11
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 231.54
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 653.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 650.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 650.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 653.76
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 646.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 211.11
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 646.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 578.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 653.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 649.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 649.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 649.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 650.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 653.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 649.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 681,
              "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": 374.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 211.11
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 681,
              "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": 95,
              "estimated_amount": 646.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 211.11
            },
            {
              "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": 681,
              "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": 95.4,
              "estimated_amount": 649.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 649.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 681,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 211.11
            },
            {
              "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": 599.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 646.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 646.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 578.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 681,
              "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": 97.8,
              "estimated_amount": 666.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 657.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 374.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 578.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 649.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 650.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 681,
              "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": 681,
              "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": 681,
              "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": 374.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 231.54
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 653.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 649.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 657.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 650.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 650.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 681,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 211.11
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 458.99
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 646.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 649.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 649.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 649.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 681,
              "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": 681,
              "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": 96,
              "estimated_amount": 653.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 374.55
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 646.95
            }
          ]
        }
      ]
    },
    {
      "description": "HC US Pregnant Uterus 1st Trimester Ea Addl Fetus",
      "code_information": [
        {
          "code": "PX-40200011",
          "type": "CDM"
        },
        {
          "code": "76802",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 497,
          "discounted_cash": 323.05,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 474.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 474.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 474.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 497,
              "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": 497,
              "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": 96,
              "estimated_amount": 477.12
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 472.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 497
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 154.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 422.45
            },
            {
              "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": 497,
              "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": 497,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 474.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 479.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 486.07
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 154.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 472.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 479.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 497,
              "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": 497,
              "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": 497,
              "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": 497,
              "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": 273.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 168.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 474.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 497,
              "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": 95,
              "estimated_amount": 472.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 154.07
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 168.98
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 472.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 474.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 474.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 474.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 497,
              "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": 96,
              "estimated_amount": 477.12
            },
            {
              "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": 497,
              "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": 96.5,
              "estimated_amount": 479.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 474.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 497,
              "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": 497,
              "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": 273.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 472.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 472.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 422.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 422.45
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 154.07,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 477.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 479.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 479.61
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 154.07
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 334.98
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 154.07
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 477.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 273.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 273.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 472.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 154.07
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 154.07
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 477.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 474.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 474.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 474.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 474.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 474.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 474.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 474.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 486.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 472.15
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 168.98
            },
            {
              "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": 323.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 486.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 273.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 422.45
            },
            {
              "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": 95.4,
              "estimated_amount": 474.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 474.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 497,
              "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": 497,
              "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": 422.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 486.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 273.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 472.15
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 477.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 474.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 474.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 497,
              "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": 497,
              "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": 95,
              "estimated_amount": 472.15
            },
            {
              "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": 273.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 479.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 474.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 497,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 154.07
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 477.12
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 154.07,
              "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": 422.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 472.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 154.07
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 472.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 474.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 497,
              "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": 497,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 168.98
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 168.98
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 154.07,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 474.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 474.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 474.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 474.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 497,
              "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": 95,
              "estimated_amount": 472.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 479.61
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 154.07
            },
            {
              "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": 437.36
            },
            {
              "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": 497,
              "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": 95.4,
              "estimated_amount": 474.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 474.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 497,
              "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": 95,
              "estimated_amount": 472.15
            }
          ]
        }
      ]
    },
    {
      "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": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11
            },
            {
              "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": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11
            },
            {
              "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": "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": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.57
            },
            {
              "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": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.92
            },
            {
              "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": 7.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11
            },
            {
              "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": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11
            },
            {
              "payer_name": "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.06
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.99
            },
            {
              "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 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": "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": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.27
            },
            {
              "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": 6.34
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.27
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.57
            },
            {
              "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 OXFORD [625260]",
              "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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.06
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.27
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.52,
              "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": 9.79
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.57
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.79
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 9.79
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.99
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.06
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 97.8,
              "estimated_amount": 11.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.12
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.99
            },
            {
              "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/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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 10.94
            },
            {
              "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": 95.4,
              "estimated_amount": 10.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.99
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.57
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.34
            }
          ]
        }
      ]
    },
    {
      "description": "HC Morph Anyls Tumor Ihc Manual So",
      "code_information": [
        {
          "code": "PX-31000142",
          "type": "CDM"
        },
        {
          "code": "88360",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 642,
          "discounted_cash": 417.3,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 612.47
            },
            {
              "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": 95.4,
              "estimated_amount": 612.47
            },
            {
              "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/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 642,
              "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": 95,
              "estimated_amount": 609.9
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 627.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 609.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 199.02
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 218.28
            },
            {
              "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": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 609.9
            },
            {
              "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": 417.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 609.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 609.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 612.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 613.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 613.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 613.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 619.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 619.53
            },
            {
              "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": 96,
              "estimated_amount": 616.32
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 609.9
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 199.02,
              "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": 95.5,
              "estimated_amount": 613.11
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 545.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 199.02,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 612.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 619.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 613.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 199.02,
              "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": 95.4,
              "estimated_amount": 612.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 612.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 612.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 353.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 609.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 616.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 627.88
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 353.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 609.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 218.28
            },
            {
              "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": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 612.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 612.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 612.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 619.53
            },
            {
              "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": 353.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 218.28
            },
            {
              "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": 642,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 612.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 619.53
            },
            {
              "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": "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 609.9
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 218.28
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 199.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 199.02
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 616.32
            },
            {
              "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": "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 UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 199.02
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 616.32
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 199.02
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 218.28
            },
            {
              "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": 642,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 612.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 613.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 613.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 613.11
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 616.32
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 609.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 609.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 199.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 612.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 612.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 613.11
            },
            {
              "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 CHOICE [625225]",
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 199.02
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 432.71
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 616.32
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 199.02
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 627.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 609.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 199.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 612.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 612.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 612.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 619.53
            },
            {
              "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": 642,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "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": 95.4,
              "estimated_amount": 612.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 619.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 613.11
            },
            {
              "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 OSU STUDENT RESOURCES [625290]",
              "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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 199.02
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 616.32
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 609.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 627.88
            },
            {
              "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": "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 GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 609.9
            }
          ],
          "minimum": 589.69,
          "maximum": 589.69
        }
      ]
    },
    {
      "description": "Pt Contrast Bath 15 Min",
      "code_information": [
        {
          "code": "PX-42000016",
          "type": "CDM"
        },
        {
          "code": "97034",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 177,
          "discounted_cash": 115.05,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 168.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 177,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.87,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 173.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 173.11
            },
            {
              "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": 115.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 168.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 168.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 170.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 169.04
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 168.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 97.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 97.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 60.18
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 169.92
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 169.92
            },
            {
              "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": 97.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 168.15
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 168.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 170.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 169.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 177,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.87
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 168.15
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 150.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 168.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 177,
              "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": 177,
              "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": 96,
              "estimated_amount": 169.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 173.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 170.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 170.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 169.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 169.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 169.04
            },
            {
              "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": 155.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 168.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 170.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 177,
              "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": 177,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 177,
              "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": 177,
              "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": 177,
              "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": 97.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 168.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 150.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 150.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 97.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 168.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 60.18
            },
            {
              "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": 177,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 169.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 177,
              "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": 177,
              "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": 95,
              "estimated_amount": 168.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 168.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 168.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 168.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 170.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 169.04
            },
            {
              "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": 177,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 168.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 168.86
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 119.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 168.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.87
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 168.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 169.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 97.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 168.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 150.45
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.87,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 168.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 170.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 169.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 169.92
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.87
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.87
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 60.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 168.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 168.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 177,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.87
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 169.92
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 168.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 168.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 173.11
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 150.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 168.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 177,
              "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": 177,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 60.18
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.87,
              "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": 177,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 168.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 150.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 169.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 177,
              "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": 177,
              "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": 177,
              "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": 95.4,
              "estimated_amount": 168.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 168.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 169.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 177,
              "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": 177,
              "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": 177
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 97.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 60.18
            },
            {
              "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": 95.4,
              "estimated_amount": 168.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 168.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 177,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.87
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 169.92
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 168.15
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 54.87
            }
          ]
        }
      ]
    },
    {
      "description": "Pt Therapeutic Massage 15 Min",
      "code_information": [
        {
          "code": "PX-42000022",
          "type": "CDM"
        },
        {
          "code": "97124",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 126,
          "discounted_cash": 81.9,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 126,
              "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": 95,
              "estimated_amount": 119.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 39.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 121.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 120.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 126,
              "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": 126,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 39.06,
              "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": 69.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 42.84
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 39.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 39.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 121.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 126,
              "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": 95,
              "estimated_amount": 119.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120.2
            },
            {
              "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": 126,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 39.06
            },
            {
              "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": 126,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 39.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 119.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 119.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 39.06
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 120.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 121.59
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 119.7
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 120.96
            },
            {
              "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": 69.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 120.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 120.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 120.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 126,
              "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": 126,
              "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": 96,
              "estimated_amount": 120.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 119.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 42.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 119.7
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 120.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 126,
              "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": 126,
              "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": 97.8,
              "estimated_amount": 123.23
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 69.3
            },
            {
              "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": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 120.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 120.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 126,
              "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": 67.4,
              "estimated_amount": 84.92
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 126,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 119.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 121.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 120.33
            },
            {
              "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": 110.88
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 123.23
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 42.84
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 119.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 39.06,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 119.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 39.06,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 120.96
            },
            {
              "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": 126,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 120.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 126,
              "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": 126,
              "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": 126,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 39.06
            },
            {
              "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 SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 123.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 69.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 121.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 121.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 126,
              "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": 126,
              "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": 126,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 39.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 119.7
            },
            {
              "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 [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 126,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 42.84
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 42.84
            },
            {
              "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": 81.9
            },
            {
              "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": 126,
              "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": 97.8,
              "estimated_amount": 123.23
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 121.59
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 120.96
            },
            {
              "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": 126,
              "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": 95.4,
              "estimated_amount": 120.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 120.33
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 120.96
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 39.06
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 119.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 39.06
            },
            {
              "payer_name": "MOLINA 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": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 120.33
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 119.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 119.7
            }
          ]
        }
      ]
    },
    {
      "description": "Pt Sensory Integration 15 Min",
      "code_information": [
        {
          "code": "PX-42000026",
          "type": "CDM"
        },
        {
          "code": "97533",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 168,
          "discounted_cash": 109.2,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "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": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 161.28
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 57.12
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "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": 168,
              "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": 96,
              "estimated_amount": 161.28
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 164.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 57.12
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 161.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 168,
              "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": 67.4,
              "estimated_amount": 113.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 162.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 161.28
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 57.12
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 161.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 164.3
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "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": "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": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 142.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 164.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 57.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 162.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "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": "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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 161.28
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 92.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 162.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 162.12
            },
            {
              "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 OPTIONS PPO [625210]",
              "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": 97.8,
              "estimated_amount": 164.3
            },
            {
              "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": 92.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 57.12
            },
            {
              "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": "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 92.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 162.12
            },
            {
              "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": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "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": 147.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "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": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "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": "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": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 162.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 162.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 161.28
            },
            {
              "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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "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": 109.2
            }
          ]
        }
      ]
    },
    {
      "description": "Leg Bag 18 Oz Vented",
      "code_information": [
        {
          "code": "PX-CH-HO9645",
          "type": "CDM"
        },
        {
          "code": "A4358",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 16.36,
          "discounted_cash": 10.63,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15.79
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.54
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15.79
            },
            {
              "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": 16.36,
              "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": 9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.54
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.07,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.56
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.36,
              "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": 96,
              "estimated_amount": 15.71
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.54
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.36,
              "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": 95,
              "estimated_amount": 15.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.91
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.36,
              "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": 95,
              "estimated_amount": 15.54
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.07,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.36,
              "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": 16.36,
              "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": 16.36,
              "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": 16.36,
              "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": 96,
              "estimated_amount": 15.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 16
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.36,
              "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": 16.36,
              "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": 16.36,
              "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": 13.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 16.36
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.36,
              "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": 16.36,
              "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": 95.4,
              "estimated_amount": 15.61
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.54
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15.71
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.07
            },
            {
              "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": 16.36,
              "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": 13.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 16
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.91
            },
            {
              "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": 95.4,
              "estimated_amount": 15.61
            },
            {
              "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": 16.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.62
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15.71
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.36,
              "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": 16.36,
              "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": 13.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.36,
              "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": 16.36,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.07,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.07
            },
            {
              "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": 9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.54
            }
          ]
        }
      ]
    },
    {
      "description": "HC Application Cast Long Arm",
      "code_information": [
        {
          "code": "PX-43000001",
          "type": "CDM"
        },
        {
          "code": "29065",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 232,
          "discounted_cash": 150.8,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 221.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 232,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 71.92
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 232,
              "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": 232,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 78.88
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 232,
              "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": 232,
              "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": 95,
              "estimated_amount": 220.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 71.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 226.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 71.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 127.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 71.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 127.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 127.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 127.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 220.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 220.4
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 78.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 220.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 223.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 221.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 71.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 232
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 226.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 226.9
            },
            {
              "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": 127.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 220.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 71.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 223.88
            },
            {
              "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": 232,
              "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": 232,
              "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": 197.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 78.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 232,
              "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": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 197.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 221.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 221.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 232,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 71.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 127.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 220.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 78.88
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 197.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 197.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 223.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 221.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 221.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 232,
              "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": 232,
              "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": 232,
              "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": 67.4,
              "estimated_amount": 156.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 127.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 78.88
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 220.4
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 220.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 232,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 220.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 71.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 223.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 221.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 232,
              "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": 232,
              "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": 232,
              "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": 232,
              "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": 97.8,
              "estimated_amount": 226.9
            },
            {
              "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": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 223.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 223.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 223.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 221.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 71.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "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": 204.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 220.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 220.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 220.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 71.92
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 220.4
            },
            {
              "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": 150.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 221.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 221.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 220.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 197.2
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            }
          ]
        }
      ]
    },
    {
      "description": "HC Php Ot per Session 45 Min or More",
      "code_information": [
        {
          "code": "PX-43000006",
          "type": "CDM"
        },
        {
          "code": "G0129",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 582,
          "discounted_cash": 378.3,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 555.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 555.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 582,
              "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": 320.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 552.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 494.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 555.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 555.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 582,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 180.42
            },
            {
              "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": 582,
              "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": 512.16
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 180.42
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 197.88
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 552.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 494.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 582
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 552.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 561.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 555.81
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 494.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 555.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 555.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 555.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 555.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 555.81
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 180.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 320.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 552.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 558.72
            },
            {
              "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": 582,
              "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": 95,
              "estimated_amount": 552.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 558.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 555.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 561.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 561.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 555.81
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 558.72
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 197.88
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 189.44,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 561.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 582,
              "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": 96,
              "estimated_amount": 558.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 582,
              "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": 95,
              "estimated_amount": 552.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 569.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 320.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 569.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 320.1
            },
            {
              "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": 95.4,
              "estimated_amount": 555.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 582,
              "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": 96,
              "estimated_amount": 558.72
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 180.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 555.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 555.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 561.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 582,
              "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": 582,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 180.42
            },
            {
              "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": 582,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 182.22,
              "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": 320.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 552.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 569.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 569.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 180.42
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 558.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 555.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 555.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 555.81
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 582,
              "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": 378.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 582,
              "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": 95,
              "estimated_amount": 552.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 555.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 561.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 555.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 555.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 582,
              "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": 582,
              "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": 582,
              "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": 582,
              "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": 67.4,
              "estimated_amount": 392.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 494.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 197.88
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 180.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 555.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 555.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 582,
              "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": 582,
              "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": 95,
              "estimated_amount": 552.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 552.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 197.88
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 189.44,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 180.42
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 552.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 494.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 555.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 555.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 555.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 582,
              "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": 582,
              "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": 582,
              "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": 96,
              "estimated_amount": 558.72
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 552.9
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 552.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 561.63
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 180.42
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 582,
              "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": 320.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 320.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 552.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 197.88
            },
            {
              "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": 582,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 555.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 555.81
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 494.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 180.42
            }
          ]
        }
      ]
    },
    {
      "description": "HC St Ped Treat Complex",
      "code_information": [
        {
          "code": "PX-44000003",
          "type": "CDM"
        },
        {
          "code": "92507",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 294,
          "discounted_cash": 191.1,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 280.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 283.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 294,
              "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": 294,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 279.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 91.14
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 279.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 249.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 249.9
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 91.14,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 99.96
            },
            {
              "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": 191.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 294,
              "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": 161.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 161.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 279.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 279.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 294
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 99.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 280.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 294,
              "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": 95.4,
              "estimated_amount": 280.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 280.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 294,
              "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": 95,
              "estimated_amount": 279.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 161.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 279.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 91.14
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 282.24
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 282.24
            },
            {
              "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": 294,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 280.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 280.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 280.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 294,
              "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": 294,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 91.14
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 198.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 279.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 282.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 280.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 280.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 294,
              "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": 294,
              "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": 95,
              "estimated_amount": 279.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 249.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 249.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 279.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 99.96
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 99.96
            },
            {
              "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": 294,
              "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": 95.4,
              "estimated_amount": 280.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 283.71
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 91.14
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 91.14,
              "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": 258.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 287.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 287.53
            },
            {
              "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": 161.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 91.14,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 282.24
            },
            {
              "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": 294,
              "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": 95.4,
              "estimated_amount": 280.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 283.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 294,
              "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": 294,
              "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": 95.4,
              "estimated_amount": 280.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 280.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 294,
              "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": 294,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 91.14
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 279.3
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 249.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 287.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 161.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 279.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 91.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 280.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 283.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 283.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 280.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 279.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 99.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 280.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 280.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 280.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 280.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 294,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 282.24
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 249.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 280.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 283.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 294,
              "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": 294,
              "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": 95.4,
              "estimated_amount": 280.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 283.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 280.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 294,
              "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": 294,
              "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": 161.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 91.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 280.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 280.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 280.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 294,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 91.14
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 279.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 280.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 280.77
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 282.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 282.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 287.53
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 91.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 91.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 280.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 294,
              "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": 161.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 279.3
            }
          ]
        }
      ]
    },
    {
      "description": "Moisture Barrier Ointment Aloe Vesta 2 Oz",
      "code_information": [
        {
          "code": "PX-CH-CV3249-13",
          "type": "CDM"
        },
        {
          "code": "A6250",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5,
          "discounted_cash": 3.25,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.75
            },
            {
              "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 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": "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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 5
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 2.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.78
            },
            {
              "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": "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": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.78
            },
            {
              "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": 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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "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": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.83
            },
            {
              "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,
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 4.75
            },
            {
              "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 HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55
            },
            {
              "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 MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95.5,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.83
            },
            {
              "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 OPTIONS PPO [625210]",
              "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": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 2.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.83
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55
            },
            {
              "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": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.78
            },
            {
              "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 BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.83
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5,
              "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": 4.4
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.78
            },
            {
              "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": "BUCKEYE COMMUNITY 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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.75
            },
            {
              "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 PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.78
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            }
          ]
        }
      ]
    },
    {
      "description": "HC Endvsc Rep Infrnl Aort/Ilc Art by Aorto-Uni-Ilc Endgrft Not Rupt W Img",
      "code_information": [
        {
          "code": "PX-36100894",
          "type": "CDM"
        },
        {
          "code": "34703",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 25337,
          "discounted_cash": 16469.05,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24171.5
            },
            {
              "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": 95.4,
              "estimated_amount": 24171.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24450.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25337,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7854.47
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7854.47
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8614.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24171.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7854.47
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24070.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24070.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24070.15
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7854.47
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24323.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24171.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24196.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25337,
              "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": 25337,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24323.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24450.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24450.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25337,
              "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": 97.8,
              "estimated_amount": 24779.59
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8614.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21536.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8614.58
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24323.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24171.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24196.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24196.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25337,
              "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": 25337,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7854.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 24779.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7854.47
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7854.47
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21536.45
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24323.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24171.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24196.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24196.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25337,
              "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": 25337,
              "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": 96,
              "estimated_amount": 24323.52
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24070.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24171.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24196.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24196.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21536.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13935.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24070.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24171.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25337,
              "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": 25337,
              "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": 95,
              "estimated_amount": 24070.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13935.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7854.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24450.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25337,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24171.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24171.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24171.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24196.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25337,
              "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": 95,
              "estimated_amount": 24070.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13935.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24070.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 24779.59
            },
            {
              "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": 13935.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13935.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24070.15
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8614.58
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7854.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24450.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24196.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25337,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24171.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24450.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25337,
              "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": 96,
              "estimated_amount": 24323.52
            },
            {
              "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": 22296.56
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21536.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24171.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24171.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24171.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24171.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7854.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24070.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25337,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13935.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24070.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24070.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24070.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8614.58
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24070.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24171.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24196.84
            },
            {
              "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": 16469.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24323.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24450.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25337,
              "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": 25337,
              "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": 21536.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 24779.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24171.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25337,
              "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": 67.4,
              "estimated_amount": 17077.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13935.35
            }
          ]
        }
      ]
    },
    {
      "description": "HC Cpr",
      "code_information": [
        {
          "code": "PX-45000026",
          "type": "CDM"
        },
        {
          "code": "92950",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1433,
          "discounted_cash": 931.45,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1367.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1367.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1382.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1382.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1368.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1433,
              "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": 788.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 788.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1361.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1361.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1361.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 487.22
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1375.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1433,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 444.23
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 965.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1401.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 788.15
            },
            {
              "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": 788.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1367.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1367.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1382.85
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 444.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1367.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1382.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1368.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1368.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1433,
              "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": 1433,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 444.23
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1218.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 487.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 444.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1367.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1367.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1368.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1433,
              "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": 95,
              "estimated_amount": 1361.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 444.23
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1361.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1218.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1368.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1375.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1367.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1367.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1382.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1375.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1401.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1401.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1361.35
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 444.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1367.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1433,
              "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": 1218.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 788.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1218.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1367.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1367.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1433,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1367.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1368.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1361.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 487.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 444.23
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 487.22
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1361.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1368.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1433,
              "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": 1433,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 444.23
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1375.68
            },
            {
              "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": 931.45
            },
            {
              "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": 95.4,
              "estimated_amount": 1367.08
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1361.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1367.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1401.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1433,
              "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": 95,
              "estimated_amount": 1361.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1361.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1433,
              "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": 1433,
              "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": 1433,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1375.68
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1361.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1433
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 788.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 788.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 487.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1367.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1382.85
            },
            {
              "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": 1433,
              "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": 1433,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 444.23
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1375.68
            },
            {
              "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": 1261.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1367.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1368.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1368.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1368.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1433,
              "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": 95,
              "estimated_amount": 1361.35
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1218.05
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 444.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1367.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1382.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1433,
              "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": 95,
              "estimated_amount": 1361.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1375.68
            }
          ]
        }
      ]
    },
    {
      "description": "HC Apply Splints Body and Upper Ext",
      "code_information": [
        {
          "code": "PX-45000044",
          "type": "CDM"
        },
        {
          "code": "45000044",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 993,
          "discounted_cash": 645.45,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 947.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 947.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 947.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 947.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 958.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 939.38
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 307.83
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 844.05
            },
            {
              "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": 546.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 958.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 948.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 948.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 971.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 337.62
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 337.62
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 307.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 546.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 947.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 947.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 958.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 948.32
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 307.83
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 943.35
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 844.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 947.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 947.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 939.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 546.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 546.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 947.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 948.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 948.32
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 943.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 943.35
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 953.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 947.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 947.32
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 953.28
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 943.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 947.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 947.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 939.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 939.38
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 307.83
            },
            {
              "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": 873.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 943.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 971.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 307.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 948.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 939.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 971.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 546.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 947.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 958.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 948.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 939.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 939.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 993
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 943.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 307.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 943.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 943.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 958.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 958.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 939.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 939.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 939.38
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 669.28
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 943.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 943.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 943.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 844.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 953.28
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 953.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 939.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 939.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 971.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 546.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 943.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 337.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 947.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 958.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 948.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 939.38
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 953.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 546.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 943.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 307.83
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 307.83
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 844.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 337.62
            },
            {
              "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": 95.4,
              "estimated_amount": 947.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 948.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 948.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 939.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 939.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 939.38
            },
            {
              "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": 645.45
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 307.83
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 953.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 939.38
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 953.28
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 844.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 947.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 947.32
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 337.62
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 943.35
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 307.83
            }
          ]
        }
      ]
    },
    {
      "description": "Human Platelet Antigen 4 Genotyping Sendout",
      "code_information": [
        {
          "code": "PX-30101272",
          "type": "CDM"
        },
        {
          "code": "81108",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 235,
          "discounted_cash": 152.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 226.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 226.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 122.22,
              "estimated_amount": 122.22
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.85
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 229.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 129.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 223.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 79.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 223.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 229.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 129.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 223.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 223.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 229.83
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 226.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 129.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 79.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 199.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 223.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 226.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 226.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 199.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 226.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.85,
              "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": 95,
              "estimated_amount": 223.25
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 223.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 223.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 79.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 79.9
            },
            {
              "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": 129.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 223.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 199.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 223.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 229.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 129.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 223.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "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": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "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": 206.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 223.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 199.75
            },
            {
              "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": 152.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 226.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.85,
              "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": 129.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 199.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 129.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 223.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 79.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 223.25
            }
          ],
          "minimum": 122.22,
          "maximum": 122.22
        }
      ]
    },
    {
      "description": "Human Platelet Antigen 5 Genotyping Sendout",
      "code_information": [
        {
          "code": "PX-30101273",
          "type": "CDM"
        },
        {
          "code": "81109",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 235,
          "discounted_cash": 152.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 199.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "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": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 223.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 229.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 79.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "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": 206.8
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 199.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 223.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 129.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 79.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 129.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 79.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 199.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 79.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 226.78
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 129.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 223.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 226.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 226.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 129.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 223.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 199.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 79.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 223.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 223.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 226.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 229.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 229.83
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 129.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.85,
              "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": 95,
              "estimated_amount": 223.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 226.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 223.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 129.25
            },
            {
              "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": 129.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 223.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 223.25
            },
            {
              "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 HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 199.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 224.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 223.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 229.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 223.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.85
            },
            {
              "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": 152.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 226.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 226.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 225.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 223.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 223.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.85
            }
          ],
          "minimum": 122.22,
          "maximum": 122.22
        }
      ]
    },
    {
      "description": "Idh1, Common Variants Sendout",
      "code_information": [
        {
          "code": "PX-30101277",
          "type": "CDM"
        },
        {
          "code": "81120",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1408,
          "discounted_cash": 915.2,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1343.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1358.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1344.64
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 436.48
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 478.72
            },
            {
              "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": 1408,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1343.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1343.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1344.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1344.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1344.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 724.69,
              "estimated_amount": 724.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 724.69,
              "estimated_amount": 724.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 724.69,
              "estimated_amount": 724.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 774.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1337.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 478.72
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 436.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1377.02
            },
            {
              "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": 774.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1337.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 436.48,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1358.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1358.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 724.69,
              "estimated_amount": 724.69
            },
            {
              "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": 1239.04
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1337.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1343.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1343.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1344.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 724.69,
              "estimated_amount": 724.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 774.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1337.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 436.48,
              "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": 95,
              "estimated_amount": 1337.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1337.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1337.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1196.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1343.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1344.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 724.69,
              "estimated_amount": 724.69
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 948.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 774.4
            },
            {
              "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": 915.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1343.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 724.69,
              "estimated_amount": 724.69
            },
            {
              "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": 1408,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1337.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1377.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1408
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1351.68
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 436.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 478.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1343.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 724.69,
              "estimated_amount": 724.69
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 436.48
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1408,
              "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": 774.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1196.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1351.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1358.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1343.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1343.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 724.69,
              "estimated_amount": 724.69
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 436.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 478.72
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 436.48
            },
            {
              "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": 1408,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 436.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 478.72
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1196.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1343.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1358.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1344.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1344.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 724.69,
              "estimated_amount": 724.69
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1351.68
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1351.68
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1351.68
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1337.6
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1196.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1337.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1343.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1343.23
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 436.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1358.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1344.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 724.69,
              "estimated_amount": 724.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 724.69,
              "estimated_amount": 724.69
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1351.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 774.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 436.48
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1196.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1343.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 724.69,
              "estimated_amount": 724.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 724.69,
              "estimated_amount": 724.69
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1408,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1337.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1377.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1343.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1343.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 724.69,
              "estimated_amount": 724.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 724.69,
              "estimated_amount": 724.69
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 436.48
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1196.8
            },
            {
              "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": 95.4,
              "estimated_amount": 1343.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1343.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1358.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 774.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1337.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1337.6
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1351.68
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1408,
              "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": 95.5,
              "estimated_amount": 1344.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 724.69,
              "estimated_amount": 724.69
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 436.48,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1337.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1377.02
            }
          ],
          "minimum": 724.69,
          "maximum": 724.69
        }
      ]
    },
    {
      "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": 1375,
          "discounted_cash": 893.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1311.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1311.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1326.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1375,
              "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": 756.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 756.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 756.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1306.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1306.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1168.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1311.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1375,
              "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": 1168.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1306.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1306.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 467.5
            },
            {
              "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": 893.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 756.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 756.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 467.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1311.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1311.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1311.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1375,
              "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": 96,
              "estimated_amount": 1320
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1311.75
            },
            {
              "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": 1375,
              "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": 96,
              "estimated_amount": 1320
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "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": 756.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1306.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 467.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1311.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1311.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1313.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1375,
              "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": 95.5,
              "estimated_amount": 1313.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1375,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.25
            },
            {
              "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": 1375,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1326.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1313.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1313.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1375,
              "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": 96,
              "estimated_amount": 1320
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1344.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1306.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1320
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1375,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1311.75
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 926.75
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1306.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1344.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1168.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1320
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1311.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1311.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1313.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1375,
              "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": 1375,
              "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": 1375,
              "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": 1168.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1311.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1313.13
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.25
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1306.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1344.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1168.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1168.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1311.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1311.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1313.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1313.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1375,
              "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": 1375,
              "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": 1210
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1344.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1306.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.25,
              "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": 95.4,
              "estimated_amount": 1311.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1326.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1313.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1375,
              "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": 1375,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.25
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.25
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1306.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1311.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1326.88
            },
            {
              "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": 1375,
              "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": 1375,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1326.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1375,
              "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": 96,
              "estimated_amount": 1320
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1375,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1320
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1306.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 467.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1306.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1326.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1375,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1311.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1326.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1313.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1375,
              "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": 1375,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.25,
              "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": 756.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1306.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 467.5
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1306.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.25,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "Oxygen Tubing Vinyl Tipped Crush Resistant Lumen 25 Ft",
      "code_information": [
        {
          "code": "PX-CH-55001305",
          "type": "CDM"
        },
        {
          "code": "A4616",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3,
          "discounted_cash": 1.95,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3,
              "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": 95,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 97.8,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 3,
              "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,
              "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,
              "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,
              "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": 96,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 1.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.85
            },
            {
              "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": 95.4,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.55
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 95,
              "estimated_amount": 2.85
            },
            {
              "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": 1.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 97.8,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 1.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 2.02
            },
            {
              "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": 2.64
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 1.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.9
            },
            {
              "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": 3,
              "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": 1.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 3,
              "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,
              "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": 95.4,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.02
            }
          ]
        }
      ]
    },
    {
      "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": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.59
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 4.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.55
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.66
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 4.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.57
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.59
            },
            {
              "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": "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": "HEALTHREACH* [540240]",
              "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": 95.4,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.54
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48
            },
            {
              "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 MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.54
            },
            {
              "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": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.55
            },
            {
              "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": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.57
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 4.76,
              "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": 97.8,
              "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": 97.8,
              "estimated_amount": 4.66
            },
            {
              "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": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "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": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.55
            },
            {
              "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": "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": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.54
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.57
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.54
            },
            {
              "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": 95.4,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 4.76,
              "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": 4.19
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 4.76,
              "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": 96.5,
              "estimated_amount": 4.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.55
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.54
            },
            {
              "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": 4.76,
              "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": 4.76,
              "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": 97.8,
              "estimated_amount": 4.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.59
            },
            {
              "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 NAVIGATE [625280]",
              "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 CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.76,
              "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": 4.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.62
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.57
            },
            {
              "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": 3.09
            }
          ]
        }
      ]
    },
    {
      "description": "Collagen Cellerate Gel 28g Tube Synthetic-Free",
      "code_information": [
        {
          "code": "PX-CH-WOCRXG28GMEA",
          "type": "CDM"
        },
        {
          "code": "A6011",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 108.51,
          "discounted_cash": 70.53,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 104.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 103.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 103.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108.51,
              "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": 96,
              "estimated_amount": 104.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.64
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 36.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 104.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108.51,
              "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": 70.53
            },
            {
              "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": 59.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 59.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.64
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 92.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108.51,
              "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": 108.51,
              "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": 108.51,
              "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": 108.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.64
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 73.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.64
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 36.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 104.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 104.71
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.08
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.08
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 92.23
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 104.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.64
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 92.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 106.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 106.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 59.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 104.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108.51,
              "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": 108.51,
              "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": 59.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.08
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 36.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 104.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 103.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108.51,
              "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": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 103.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108.51,
              "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": 108.51,
              "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": 108.51,
              "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": 97.8,
              "estimated_amount": 106.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 59.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.08
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.64
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 104.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.64
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 92.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 103.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 103.63
            },
            {
              "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": 108.51,
              "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": 96,
              "estimated_amount": 104.17
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 104.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 108.51
            },
            {
              "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": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 103.63
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.64
            },
            {
              "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": 95.49
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 104.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 36.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108.51,
              "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": 95,
              "estimated_amount": 103.08
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 92.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 106.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.08
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 104.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 59.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.08
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 36.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 103.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 103.63
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108.51,
              "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": 108.51,
              "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": 59.68
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 104.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 103.63
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.08
            }
          ]
        }
      ]
    },
    {
      "description": "HC Spirometry Bronchial Provocation Challenge",
      "code_information": [
        {
          "code": "PX-46000003",
          "type": "CDM"
        },
        {
          "code": "94070",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3325,
          "discounted_cash": 2161.25,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3172.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3208.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3208.63
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 2241.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3192
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3158.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3251.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3158.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1130.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3172.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3325,
              "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": 3325,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1030.75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3158.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3192
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2161.25
            },
            {
              "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": 3325,
              "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": 1828.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1130.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3175.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3175.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3208.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3175.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3325,
              "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": 3325,
              "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": 1828.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2826.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2826.25
            },
            {
              "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": 3325,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3251.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1828.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3158.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1130.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3172.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3172.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3325,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1030.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1130.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3172.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3208.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3325,
              "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": 2926
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3175.38
            },
            {
              "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": 3325,
              "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": 3325,
              "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": 3325,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3192
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1828.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3325
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3172.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3172.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3172.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3175.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3325,
              "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": 96,
              "estimated_amount": 3192
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3325,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2826.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2826.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3158.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1030.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3158.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1030.75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3172.05
            },
            {
              "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": 95.4,
              "estimated_amount": 3172.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3175.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3175.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3325,
              "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": 3325,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1030.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3172.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3208.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3175.38
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3158.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1030.75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1130.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1828.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3158.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1030.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2826.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3158.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2826.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1030.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3172.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3175.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3325,
              "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": 3325,
              "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": 3325,
              "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": 97.8,
              "estimated_amount": 3251.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1030.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3192
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3325,
              "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": 1828.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3208.63
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3158.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3158.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3158.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3192
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3172.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3251.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3158.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1030.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3172.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3172.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3172.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3175.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3325,
              "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": 3325,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1030.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3172.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3325,
              "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": 3325,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1030.75
            },
            {
              "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": 1828.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3158.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3172.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3208.63
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3192
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1030.75
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Pouch 1 3/4 in Natura Invisclose",
      "code_information": [
        {
          "code": "PX-CH-CV4164-18",
          "type": "CDM"
        },
        {
          "code": "A5063",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.41,
          "discounted_cash": 2.87,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 3.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.41,
              "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": 4.41,
              "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": 3.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.43
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 4.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.41,
              "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": 4.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.37,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.37,
              "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": 96,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 96,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.41,
              "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": 4.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.41,
              "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": 4.41,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 2.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.37,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.41,
              "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": 3.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.41,
              "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": 4.41,
              "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": 96,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 2.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 4.41,
              "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": 3.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.21
            },
            {
              "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": 95.4,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.43
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.41,
              "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": 4.41,
              "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": 95,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.23
            },
            {
              "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": 4.41,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.41,
              "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": 4.41,
              "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": 95,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.26
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.23
            }
          ]
        }
      ]
    },
    {
      "description": "HC Ep Comprehensive W Induction Arrhythmia",
      "code_information": [
        {
          "code": "PX-48000033",
          "type": "CDM"
        },
        {
          "code": "93620",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 35335,
          "discounted_cash": 22967.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 33709.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 33709.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34098.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35335,
              "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": 35335,
              "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": 95,
              "estimated_amount": 33568.25
            },
            {
              "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": 19434.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 33709.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 33709.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 33709.59
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30034.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 34557.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19434.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19434.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 33568.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10953.85
            },
            {
              "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": 22967.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 33921.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 33568.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 33709.59
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 33921.6
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 33568.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 33568.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35335,
              "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": 35335,
              "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": 35335,
              "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": 35335,
              "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": 35335,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 10953.85,
              "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": 19434.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10953.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12013.9
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 10953.85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 34557.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19434.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19434.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 33568.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12013.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 33568.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30034.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35335,
              "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": 96,
              "estimated_amount": 33921.6
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10953.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 33568.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10953.85
            },
            {
              "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": 35335,
              "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": 96.5,
              "estimated_amount": 34098.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 33744.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 33709.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 33709.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 33744.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35335,
              "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": 35335,
              "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": 95,
              "estimated_amount": 33568.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12013.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30034.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12013.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19434.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10953.85
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10953.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 33744.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 33568.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30034.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 33709.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 33709.59
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10953.85
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10953.85
            },
            {
              "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": 35335,
              "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": 95.5,
              "estimated_amount": 33744.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35335,
              "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": 35335,
              "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": 95.4,
              "estimated_amount": 33709.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35335,
              "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": 31094.8
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 33568.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 34557.63
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10953.85
            },
            {
              "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": 95.4,
              "estimated_amount": 33709.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 33709.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34098.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34098.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 33744.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 33744.93
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10953.85
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35335,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 33921.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 33709.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 33709.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 33709.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 35335
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35335,
              "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": 30034.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 33568.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12013.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 33709.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 33744.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 33744.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 33744.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35335,
              "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": 67.4,
              "estimated_amount": 23815.79
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 33921.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 33568.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 33709.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34098.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 33744.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35335,
              "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": 35335,
              "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": 96,
              "estimated_amount": 33921.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 33921.6
            },
            {
              "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": 35335,
              "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": 96.5,
              "estimated_amount": 34098.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35335,
              "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": 35335,
              "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": 97.8,
              "estimated_amount": 34557.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 33568.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30034.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34098.28
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 10953.85,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Ep Study With Rx",
      "code_information": [
        {
          "code": "PX-48000036",
          "type": "CDM"
        },
        {
          "code": "93623",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8469,
          "discounted_cash": 5504.85,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8079.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8087.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8087.9
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2625.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8045.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2879.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8079.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8079.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8087.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8282.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8282.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8045.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2625.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8045.55
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8130.24
            },
            {
              "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": 8469,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8079.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8469,
              "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": 67.4,
              "estimated_amount": 5708.11
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8045.55
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8045.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8079.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8079.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8172.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8172.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8172.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8087.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8469,
              "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": 8469,
              "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": 8469,
              "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": 8469,
              "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": 96,
              "estimated_amount": 8130.24
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8045.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2879.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4657.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7198.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8079.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8469,
              "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": 95,
              "estimated_amount": 8045.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8469,
              "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": 8469,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2625.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8087.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8087.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8469,
              "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": 8469,
              "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": 8469
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2879.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4657.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8045.55
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2625.39,
              "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": 96.5,
              "estimated_amount": 8172.59
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7198.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8282.68
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2625.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2625.39
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2625.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8469,
              "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": 96,
              "estimated_amount": 8130.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8079.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8087.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8469,
              "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": 8469,
              "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": 96,
              "estimated_amount": 8130.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4657.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8045.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7198.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7198.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8045.55
            },
            {
              "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": 5504.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8079.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8079.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8079.43
            },
            {
              "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": 95.4,
              "estimated_amount": 8079.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8079.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8079.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8172.59
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8045.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8079.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8079.43
            },
            {
              "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": 4657.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8087.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8469,
              "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": 8469,
              "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": 8469,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2625.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8172.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8087.9
            },
            {
              "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": 8469,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2625.39,
              "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": 4657.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4657.95
            },
            {
              "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": 8469,
              "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": 97.8,
              "estimated_amount": 8282.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4657.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2625.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2625.39
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2879.46
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2625.39,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8079.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8172.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8469,
              "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": 96,
              "estimated_amount": 8130.24
            },
            {
              "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": 8469,
              "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": 7452.72
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8130.24
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8045.55
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7198.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8079.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8087.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8469,
              "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": 95,
              "estimated_amount": 8045.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7198.65
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2879.46
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2625.39
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8045.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8130.24
            },
            {
              "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": 8469,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Analysis Icd Leads at Implant",
      "code_information": [
        {
          "code": "PX-48000038",
          "type": "CDM"
        },
        {
          "code": "93640",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5732,
          "discounted_cash": 3725.8,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5468.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5468.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5468.33
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4872.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1948.88
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4872.2
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1776.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5468.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5468.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5445.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1776.92
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1776.92
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5445.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5502.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3152.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5732,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1776.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5468.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5531.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5732,
              "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": 3152.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1776.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5531.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5474.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5732,
              "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": 5732,
              "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": 5732,
              "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": 95,
              "estimated_amount": 5445.4
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1948.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5468.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5468.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5732,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5502.72
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5445.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5474.06
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5445.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5605.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3152.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5502.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5605.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4872.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5474.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5474.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5732,
              "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": 5732,
              "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": 5732,
              "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": 95,
              "estimated_amount": 5445.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5732
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5445.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5445.4
            },
            {
              "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": 3725.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5474.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5732,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1776.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5468.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5531.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5474.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5732,
              "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": 5732,
              "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": 97.8,
              "estimated_amount": 5605.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1948.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3152.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3152.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5445.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5732,
              "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": 5732,
              "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": 95.4,
              "estimated_amount": 5468.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5468.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5531.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5474.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5468.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5468.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5605.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3152.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5468.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5531.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5531.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5474.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5732,
              "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": 5732,
              "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": 67.4,
              "estimated_amount": 3863.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5445.4
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1948.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5468.33
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5502.72
            },
            {
              "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": 5044.16
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4872.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4872.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5445.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5445.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5468.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5468.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5531.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5474.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5502.72
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5502.72
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1776.92
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1776.92
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1776.92
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5445.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5502.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5468.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5474.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5732,
              "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": 95,
              "estimated_amount": 5445.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3152.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1948.88
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1776.92
            }
          ]
        }
      ]
    },
    {
      "description": "Ep Eval W Ablation Svt Including 3d Mapping",
      "code_information": [
        {
          "code": "PX-48000042",
          "type": "CDM"
        },
        {
          "code": "93653",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 63198,
          "discounted_cash": 41078.7,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60290.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60290.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60290.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 63198,
              "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": 67.4,
              "estimated_amount": 42595.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53718.3
            },
            {
              "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": 95.4,
              "estimated_amount": 60290.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 60354.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 60354.09
            },
            {
              "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": 63198,
              "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": 63198,
              "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": 63198,
              "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": 63198
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 34758.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19591.38
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60670.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 21487.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 60354.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 63198,
              "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": 96,
              "estimated_amount": 60670.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60290.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 60986.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 63198,
              "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": 63198,
              "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": 63198,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 19591.38,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60670.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 61807.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 60038.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 60038.1
            },
            {
              "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": 63198,
              "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": 95.4,
              "estimated_amount": 60290.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60290.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 60986.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 63198,
              "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": 63198,
              "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": 53718.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 60038.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60670.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60290.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 63198,
              "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": 63198,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19591.38
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60670.08
            },
            {
              "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": 63198,
              "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": 95.4,
              "estimated_amount": 60290.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60290.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 60354.09
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 60038.1
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53718.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 61807.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 34758.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19591.38
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 21487.32
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 21487.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 61807.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 61807.64
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19591.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 60986.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 60986.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 63198,
              "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": 63198,
              "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": 34758.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 60038.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19591.38
            },
            {
              "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": 41078.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60290.89
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 60038.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 60986.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 60354.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 60354.09
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 63198,
              "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": 34758.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19591.38
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 21487.32
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19591.38
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 63198,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 60986.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 60354.09
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19591.38
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 60038.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 34758.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 60038.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 21487.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60290.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60290.89
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 60038.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60290.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60290.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 60986.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 60038.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53718.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60290.89
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19591.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 34758.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53718.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 19591.38,
              "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": 95,
              "estimated_amount": 60038.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 60038.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 60038.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53718.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 19591.38,
              "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": 95.4,
              "estimated_amount": 60290.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 60354.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 63198,
              "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": 63198,
              "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": 63198,
              "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": 96,
              "estimated_amount": 60670.08
            },
            {
              "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": 55614.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60290.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 60354.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 63198,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19591.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 60038.1
            },
            {
              "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": 63198,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 60354.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 34758.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60670.08
            }
          ]
        }
      ]
    },
    {
      "description": "HC Atherectomy Sgl Maj Cor Art or Branch",
      "code_information": [
        {
          "code": "PX-48100003",
          "type": "CDM"
        },
        {
          "code": "92924",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 18072,
          "discounted_cash": 11746.8,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17240.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17240.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17258.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18072,
              "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": 15903.36
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 5602.32,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17168.4
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17168.4
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17349.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17240.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17439.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17258.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17258.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9939.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9939.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17168.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5602.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9939.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17168.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15361.2
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 5602.32,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17240.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17240.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18072,
              "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": 18072,
              "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": 95.4,
              "estimated_amount": 17240.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17439.48
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 18072,
              "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": 95,
              "estimated_amount": 17168.4
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15361.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6144.48
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17168.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15361.2
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5602.32
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17349.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18072,
              "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": 18072,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5602.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17168.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17240.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18072,
              "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": 96,
              "estimated_amount": 17349.12
            },
            {
              "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": 18072,
              "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": 95.4,
              "estimated_amount": 17240.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17258.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17258.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17258.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18072,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5602.32
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5602.32
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5602.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 18072
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9939.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 17674.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17168.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17240.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17258.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18072,
              "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": 18072,
              "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": 18072,
              "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": 9939.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17168.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6144.48
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15361.2
            },
            {
              "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": 18072,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17240.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17439.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18072,
              "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": 95,
              "estimated_amount": 17168.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17240.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18072,
              "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": 67.4,
              "estimated_amount": 12180.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17168.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5602.32
            },
            {
              "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": 11746.8
            },
            {
              "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": 18072,
              "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": 9939.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5602.32
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6144.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17439.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18072,
              "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": 9939.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17168.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17168.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5602.32
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17349.12
            },
            {
              "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": 18072,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17240.69
            },
            {
              "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": 95.4,
              "estimated_amount": 17240.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17240.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17240.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18072,
              "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": 18072,
              "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": 96,
              "estimated_amount": 17349.12
            },
            {
              "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": 18072,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 5602.32,
              "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": 96,
              "estimated_amount": 17349.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17258.76
            },
            {
              "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": 18072,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6144.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 17674.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17168.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15361.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17240.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17240.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17240.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17258.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17349.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17439.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17439.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17258.76
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15361.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 17674.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 17674.42
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5602.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17439.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18072,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6144.48
            }
          ]
        }
      ]
    },
    {
      "description": "HC Atherectomy Ea Add Branch Maj Cor Art",
      "code_information": [
        {
          "code": "PX-48100004",
          "type": "CDM"
        },
        {
          "code": "92925",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 15784,
          "discounted_cash": 10259.6,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15057.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15231.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15073.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8681.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8681.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5366.56
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13416.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15073.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15784,
              "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": 15784,
              "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": 10259.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8681.2
            },
            {
              "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": 8681.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15057.94
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4893.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15152.64
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4893.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15073.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15073.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15784,
              "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": 97.8,
              "estimated_amount": 15436.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14994.8
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4893.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4893.04
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14994.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15152.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15057.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15231.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15073.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15784,
              "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": 67.4,
              "estimated_amount": 10638.42
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13416.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15057.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15057.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15784,
              "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": 15784,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15057.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15073.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15784,
              "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": 8681.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4893.04
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13416.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13416.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15436.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15784,
              "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": 15784,
              "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": 15784,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4893.04,
              "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": 8681.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14994.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4893.04
            },
            {
              "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": 15784,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15057.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15784,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4893.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15152.64
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4893.04
            },
            {
              "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": 13889.92
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14994.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8681.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14994.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14994.8
            },
            {
              "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": 15784,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15231.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15073.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15784,
              "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": 15784,
              "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": 95.4,
              "estimated_amount": 15057.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15057.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15231.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15784,
              "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": 95,
              "estimated_amount": 14994.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15057.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15057.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15784,
              "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": 13416.4
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4893.04,
              "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": 95.4,
              "estimated_amount": 15057.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15231.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15784,
              "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": 96,
              "estimated_amount": 15152.64
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14994.8
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14994.8
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13416.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14994.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4893.04
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15152.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15436.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14994.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4893.04
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14994.8
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5366.56
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4893.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15073.72
            },
            {
              "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": 15784,
              "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": 15784,
              "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": 15784,
              "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": 15784,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15152.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15057.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15057.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15231.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15073.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15073.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15784,
              "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": 97.8,
              "estimated_amount": 15436.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14994.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5366.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5366.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15057.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15057.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15057.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15057.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15231.56
            },
            {
              "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": 15784,
              "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": 95,
              "estimated_amount": 14994.8
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5366.56
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15152.64
            }
          ]
        }
      ]
    },
    {
      "description": "HC Stent Sgl Maj Cor Art or Branch",
      "code_information": [
        {
          "code": "PX-48100005",
          "type": "CDM"
        },
        {
          "code": "92928",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 16245,
          "discounted_cash": 10559.25,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15497.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15497.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15676.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15676.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16245,
              "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": 95,
              "estimated_amount": 15432.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8934.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8934.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15432.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15432.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5523.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5523.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5523.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15595.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13808.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 5035.95,
              "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": 10559.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15497.73
            },
            {
              "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": 95.4,
              "estimated_amount": 15497.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15676.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16245,
              "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": 16245,
              "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": 96,
              "estimated_amount": 15595.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15497.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16245,
              "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": 16245,
              "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": 16245,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5035.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15432.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5523.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 5035.95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15887.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8934.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15432.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13808.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15497.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15676.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16245,
              "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": 16245,
              "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": 16245,
              "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": 96,
              "estimated_amount": 15595.2
            },
            {
              "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": 14295.6
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13808.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15887.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 16245
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 16245,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15497.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15497.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15676.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15676.43
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15432.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15497.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15513.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15513.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16245,
              "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": 97.8,
              "estimated_amount": 15887.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8934.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5035.95
            },
            {
              "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": 16245,
              "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": 8934.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15432.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5035.95
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5523.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5035.95
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15595.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15513.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15513.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15513.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16245,
              "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": 16245,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15432.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15497.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15497.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15513.98
            },
            {
              "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": 16245,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5035.95
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 10949.13
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 5035.95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15887.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15432.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13808.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15432.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15432.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15432.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15432.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15595.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15497.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16245,
              "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": 96,
              "estimated_amount": 15595.2
            },
            {
              "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": 16245,
              "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": 95.4,
              "estimated_amount": 15497.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15497.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15513.98
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5035.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15595.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15497.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16245,
              "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": 16245,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5035.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15432.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15497.73
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5035.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8934.75
            },
            {
              "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": 8934.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5035.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13808.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15497.73
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5035.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15676.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15513.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16245,
              "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": 16245,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15497.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15513.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15513.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16245,
              "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": 16245,
              "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": 13808.25
            }
          ]
        }
      ]
    },
    {
      "description": "HC Right and Left Heart Cath",
      "code_information": [
        {
          "code": "PX-48100019",
          "type": "CDM"
        },
        {
          "code": "93453",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 21391,
          "discounted_cash": 13904.15,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20407.01
            },
            {
              "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": 95.4,
              "estimated_amount": 20407.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20407.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20407.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21391,
              "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": 95,
              "estimated_amount": 20321.45
            },
            {
              "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": 13904.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20407.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20407.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20407.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20642.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20428.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20428.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20428.41
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18182.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11765.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 20920.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20321.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6631.21
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7272.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20428.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21391,
              "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": 95.4,
              "estimated_amount": 20407.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20407.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21391,
              "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": 95,
              "estimated_amount": 20321.45
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 20535.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 20920.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20321.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20321.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7272.94
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7272.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20321.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20321.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20407.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20642.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20642.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20428.41
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 14417.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 20920.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 20535.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20407.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20407.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20642.32
            },
            {
              "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": 21391,
              "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": 21391,
              "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": 96,
              "estimated_amount": 20535.36
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20321.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20407.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20642.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11765.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11765.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6631.21
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18182.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20407.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21391,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6631.21
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6631.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20321.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20321.45
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6631.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20407.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20407.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20428.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21391,
              "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": 96,
              "estimated_amount": 20535.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21391,
              "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": 21391,
              "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": 18824.08
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20321.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11765.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 20535.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 20920.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20321.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20642.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20428.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21391,
              "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": 21391,
              "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": 18182.35
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6631.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21391,
              "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": 21391,
              "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": 21391,
              "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": 95,
              "estimated_amount": 20321.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21391,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21391,
              "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": 11765.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7272.94
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 20321.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20407.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21391,
              "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": 21391,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6631.21
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7272.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20428.41
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 20535.36
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6631.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20407.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20642.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20428.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20428.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 20535.36
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6631.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11765.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6631.21
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18182.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11765.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18182.35
            }
          ]
        }
      ]
    },
    {
      "description": "HC Coronary Angiogrphy W Byp Grfts and Rhc",
      "code_information": [
        {
          "code": "PX-48100023",
          "type": "CDM"
        },
        {
          "code": "93457",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 15984,
          "discounted_cash": 10389.6,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15248.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15248.74
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4955.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8791.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15184.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15184.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4955.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15248.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15984,
              "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": 15984,
              "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": 15984,
              "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": 15984,
              "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": 13586.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15248.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15248.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15424.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15984,
              "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": 67.4,
              "estimated_amount": 10773.22
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15184.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15248.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15248.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15264.72
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15344.64
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15344.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15632.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15184.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15344.64
            },
            {
              "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": 8791.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4955.04
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5434.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5434.56
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5434.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15248.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15248.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15248.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15264.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4955.04
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13586.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15248.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15424.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15264.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15984,
              "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": 15984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4955.04
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15184.8
            },
            {
              "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": 10389.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8791.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4955.04
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5434.56
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4955.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15984,
              "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": 95,
              "estimated_amount": 15184.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15184.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15184.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15184.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4955.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15248.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15248.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15424.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15264.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15984,
              "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": 15984,
              "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": 95.4,
              "estimated_amount": 15248.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15424.56
            },
            {
              "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": 14065.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8791.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8791.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15184.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15184.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13586.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15184.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15264.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15984,
              "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": 96,
              "estimated_amount": 15344.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15632.35
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4955.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4955.04,
              "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": 15984,
              "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": 96.5,
              "estimated_amount": 15424.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15984,
              "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": 15984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4955.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15344.64
            },
            {
              "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": 15984,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15248.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15424.56
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4955.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15424.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15984,
              "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": 15984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 15122
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8791.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15184.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15632.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4955.04
            },
            {
              "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": 95.4,
              "estimated_amount": 15248.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15248.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15264.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15984,
              "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": 95.4,
              "estimated_amount": 15248.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15264.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15264.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15984,
              "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": 15984,
              "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": 15984,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15344.64
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13586.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15632.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8791.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13586.4
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5434.56
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15344.64
            },
            {
              "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": 15984,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15264.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15264.72
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15184.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13586.4
            }
          ]
        }
      ]
    },
    {
      "description": "HC Echo Tee Complete",
      "code_information": [
        {
          "code": "PX-48300006",
          "type": "CDM"
        },
        {
          "code": "93312",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3957,
          "discounted_cash": 2572.05,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3774.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3774.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3818.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3957
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3759.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3759.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1226.67
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3759.15
            },
            {
              "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": 3957,
              "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": 96.5,
              "estimated_amount": 3818.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3957,
              "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": 2176.35
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3798.72
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3798.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2176.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3774.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3818.51
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3759.15
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3759.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3778.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3778.94
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1226.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3798.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3759.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1226.67
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1345.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2176.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3363.45
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1226.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3778.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3778.94
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 2667.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1226.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3774.98
            },
            {
              "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": 95.4,
              "estimated_amount": 3774.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3774.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3957,
              "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": 3957,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1226.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3798.72
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3363.45
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1226.67,
              "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": 95,
              "estimated_amount": 3759.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1345.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3774.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3818.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3778.94
            },
            {
              "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": 3957,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1226.67,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1345.38
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3363.45
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1226.67,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1226.67
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1345.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3774.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3818.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3818.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3957,
              "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": 3957,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1226.67
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3759.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3778.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3957,
              "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": 3957,
              "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": 95,
              "estimated_amount": 3759.15
            },
            {
              "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": 2176.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1226.67
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3363.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3798.72
            },
            {
              "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": 3957,
              "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": 97.8,
              "estimated_amount": 3869.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3774.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3957,
              "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": 3957,
              "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": 3957,
              "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": 97.8,
              "estimated_amount": 3869.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3869.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2176.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3759.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3759.15
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3798.72
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3798.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3774.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3778.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3778.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3957,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1226.67
            },
            {
              "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": 3957,
              "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": 3363.45
            },
            {
              "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": 2572.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3774.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3818.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3957,
              "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": 97.8,
              "estimated_amount": 3869.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3759.15
            },
            {
              "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": 3957,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1345.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3774.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3774.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3774.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3778.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3957,
              "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": 3957,
              "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": 3482.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3778.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3957,
              "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": 3957,
              "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": 3363.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3759.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3759.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3774.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3774.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3774.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3774.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3957,
              "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": 3957,
              "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": 2176.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2176.35
            }
          ]
        }
      ]
    },
    {
      "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": 3324,
          "discounted_cash": 2160.6,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3171.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3174.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3324,
              "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": 3324,
              "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": 3324,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1030.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3250.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3324
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3171.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3207.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3324,
              "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": 3324,
              "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": 95,
              "estimated_amount": 3157.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3324,
              "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": 95,
              "estimated_amount": 3157.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3171.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3207.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3207.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3174.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3324,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1030.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3157.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3157.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3191.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3250.87
            },
            {
              "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": 1828.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3171.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3171.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3191.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1828.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3157.8
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3191.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3207.66
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1030.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3191.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3171.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3171.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3207.66
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3191.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1828.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1828.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3157.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1030.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3171.1
            },
            {
              "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": 95.4,
              "estimated_amount": 3171.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3324,
              "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": 96,
              "estimated_amount": 3191.04
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3157.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1030.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3171.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3171.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3324,
              "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": 3324,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3171.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3207.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3174.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3324,
              "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": 3324,
              "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": 1828.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3157.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3157.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3157.8
            },
            {
              "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": 2160.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3250.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3157.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1030.44
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1130.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3171.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3324,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1130.16
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2825.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2825.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3171.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3174.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3174.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3324,
              "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": 3324,
              "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": 67.4,
              "estimated_amount": 2240.38
            },
            {
              "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": 2925.12
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3157.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3171.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3174.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3324,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1030.44
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1130.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3207.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3174.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3324,
              "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": 2825.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1828.2
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1030.44
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1130.16
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3191.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3171.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3171.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3174.42
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1030.44
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2825.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3250.87
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2825.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3171.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3174.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3174.42
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3157.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1828.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3157.8
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1130.16
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1030.44
            }
          ]
        }
      ]
    },
    {
      "description": "HC Echo Doppler Add On",
      "code_information": [
        {
          "code": "PX-48300009",
          "type": "CDM"
        },
        {
          "code": "93320",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 435,
          "discounted_cash": 282.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 414.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 414.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 414.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 435,
              "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": 435,
              "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": 435,
              "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": 435,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 134.85,
              "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": 97.8,
              "estimated_amount": 425.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 413.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 147.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 369.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 414.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 419.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 435,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 134.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 369.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 134.85,
              "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": 435,
              "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": 95,
              "estimated_amount": 413.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 413.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 414.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 414.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 415.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 435,
              "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": 382.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 414.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 414.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 413.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 134.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 147.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 435,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 415.43
            },
            {
              "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": 435,
              "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": 369.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 419.78
            },
            {
              "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": 95.4,
              "estimated_amount": 414.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 414.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 414.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 415.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 435,
              "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": 67.4,
              "estimated_amount": 293.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 417.6
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 413.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 413.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 413.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 369.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 415.43
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 417.6
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 134.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 413.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 413.25
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 369.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 134.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 417.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 414.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 414.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 415.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 435,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 134.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 413.25
            },
            {
              "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": 435,
              "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": 97.8,
              "estimated_amount": 425.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 239.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 414.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 435,
              "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": 435,
              "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": 435,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 134.85
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 417.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 435
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 239.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 413.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 147.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 415.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 435,
              "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": 435,
              "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": 96,
              "estimated_amount": 417.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 414.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 414.99
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 425.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 419.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 415.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 415.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 415.43
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 369.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 413.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 417.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 414.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 419.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 435,
              "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": 239.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 413.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 134.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 134.85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 147.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 435,
              "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": 435,
              "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": 95.4,
              "estimated_amount": 414.99
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 134.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 425.43
            },
            {
              "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": 239.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 239.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 239.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 239.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 413.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 134.85
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 134.85
            },
            {
              "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": 282.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 417.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 419.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 419.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 419.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 415.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 435,
              "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": 435,
              "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": 435,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Transabdominal Amnioinfusion W US Guid",
      "code_information": [
        {
          "code": "PX-51000025",
          "type": "CDM"
        },
        {
          "code": "59070",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2177,
          "discounted_cash": 1415.05,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2076.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2177,
              "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": 1850.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2068.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 674.87
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2068.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1850.45
            },
            {
              "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": 1415.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2076.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2068.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2068.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2068.15
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 674.87
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2089.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2177,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 674.87
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2068.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2076.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2177,
              "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": 2177,
              "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": 95,
              "estimated_amount": 2068.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2129.11
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 674.87
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 674.87
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1850.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2129.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2068.15
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 674.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2076.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2100.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2079.04
            },
            {
              "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": 2177,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 740.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2177,
              "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": 95.5,
              "estimated_amount": 2079.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2079.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2177,
              "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": 2177,
              "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": 2177,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 674.87
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2089.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2068.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 674.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2177
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 740.18
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1850.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2076.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2076.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2100.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2079.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2079.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2079.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2089.92
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2068.15
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2089.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2076.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2076.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2076.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2100.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2177,
              "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": 2177,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2076.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2100.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2079.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2177,
              "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": 1197.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1197.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1197.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 740.18
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 740.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1197.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2068.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2177,
              "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": 96,
              "estimated_amount": 2089.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2100.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2079.04
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 674.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2076.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2076.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2076.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2100.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2177,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2100.81
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 1467.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2089.92
            },
            {
              "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": 1915.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2129.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2129.11
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2068.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2076.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2076.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2079.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2177,
              "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": 96,
              "estimated_amount": 2089.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2076.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2076.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2079.04
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1850.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1197.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1197.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 740.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2076.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2177,
              "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": 2177,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 674.87
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2068.15
            },
            {
              "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": 1197.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2068.15
            }
          ]
        }
      ]
    },
    {
      "description": "HC Visit OP New Level 3",
      "code_information": [
        {
          "code": "PX-51000047",
          "type": "CDM"
        },
        {
          "code": "G0463",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 164,
          "discounted_cash": 106.6,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 156.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 156.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 156.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "other",
              "standard_charge_algorithm": "Minimum of per diem, percent of billed, and fee schedule amounts.",
              "estimated_amount": 50.4,
              "additional_payer_notes": "CLINIC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 164,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 50.84
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 50.84,
              "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": 144.32
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 50.84
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 55.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 156.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 164,
              "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": 164,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 50.84
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 155.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 50.84
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 50.84
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 55.76
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 155.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 155.8
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 157.44
            },
            {
              "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": 164,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 156.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 156.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 164,
              "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": 164,
              "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 [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 164,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 50.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 157.44
            },
            {
              "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": 90.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 155.8
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 55.76
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 155.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 156.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 156.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 164,
              "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": 67.4,
              "estimated_amount": 110.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 160.39
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 90.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 55.76
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 50.84,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 156.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "other",
              "standard_charge_algorithm": "Minimum of per diem, percent of billed, and fee schedule amounts.",
              "estimated_amount": 50.4,
              "additional_payer_notes": "CLINIC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "other",
              "standard_charge_algorithm": "Minimum of per diem, percent of billed, and fee schedule amounts.",
              "estimated_amount": 50.4,
              "additional_payer_notes": "CLINIC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "other",
              "standard_charge_algorithm": "Minimum of per diem, percent of billed, and fee schedule amounts.",
              "estimated_amount": 50.4,
              "additional_payer_notes": "CLINIC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "other",
              "standard_charge_algorithm": "Minimum of per diem, percent of billed, and fee schedule amounts.",
              "estimated_amount": 50.4,
              "additional_payer_notes": "CLINIC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "other",
              "standard_charge_algorithm": "Minimum of per diem, percent of billed, and fee schedule amounts.",
              "estimated_amount": 50.4,
              "additional_payer_notes": "CLINIC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 164,
              "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": 164,
              "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": 139.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 158.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 158.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "other",
              "standard_charge_algorithm": "Minimum of per diem, percent of billed, and fee schedule amounts.",
              "estimated_amount": 50.4,
              "additional_payer_notes": "CLINIC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 164,
              "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": 164,
              "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": 96,
              "estimated_amount": 157.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 160.39
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 155.8
            },
            {
              "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": 106.6
            },
            {
              "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": 164,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "other",
              "standard_charge_algorithm": "Minimum of per diem, percent of billed, and fee schedule amounts.",
              "estimated_amount": 50.4,
              "additional_payer_notes": "CLINIC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "other",
              "standard_charge_algorithm": "Minimum of per diem, percent of billed, and fee schedule amounts.",
              "estimated_amount": 50.4,
              "additional_payer_notes": "CLINIC"
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 156.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 156.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 156.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 164,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 96,
              "estimated_amount": 157.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 164,
              "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": 139.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 160.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 50.84
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 157.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 155.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 155.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 55.76
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 155.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 50.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 156.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 156.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 158.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 158.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "other",
              "standard_charge_algorithm": "Minimum of per diem, percent of billed, and fee schedule amounts.",
              "estimated_amount": 50.4,
              "additional_payer_notes": "CLINIC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 155.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 160.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 158.26
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 164,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 157.44
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 155.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 156.46
            },
            {
              "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": 95.4,
              "estimated_amount": 156.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 164,
              "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": 139.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 164,
              "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": 90.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 50.84
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 50.84,
              "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": 95,
              "estimated_amount": 155.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 158.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 164,
              "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": 95.4,
              "estimated_amount": 156.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 158.26
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 155.8
            },
            {
              "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": 164,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 156.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 164,
              "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": 164,
              "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": 95,
              "estimated_amount": 155.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 157.44
            }
          ]
        }
      ]
    },
    {
      "description": "HC Visit OP New Level 5",
      "code_information": [
        {
          "code": "PX-51000049",
          "type": "CDM"
        },
        {
          "code": "G0463",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 229,
          "discounted_cash": 148.85,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 218.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "other",
              "standard_charge_algorithm": "Minimum of per diem, percent of billed, and fee schedule amounts.",
              "estimated_amount": 70.58,
              "additional_payer_notes": "CLINIC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 229,
              "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": 229,
              "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": 229,
              "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": 95,
              "estimated_amount": 217.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 218.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "other",
              "standard_charge_algorithm": "Minimum of per diem, percent of billed, and fee schedule amounts.",
              "estimated_amount": 70.58,
              "additional_payer_notes": "CLINIC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "other",
              "standard_charge_algorithm": "Minimum of per diem, percent of billed, and fee schedule amounts.",
              "estimated_amount": 70.58,
              "additional_payer_notes": "CLINIC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "other",
              "standard_charge_algorithm": "Minimum of per diem, percent of billed, and fee schedule amounts.",
              "estimated_amount": 70.58,
              "additional_payer_notes": "CLINIC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 229,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.99,
              "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": 229,
              "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": 229,
              "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": 97.8,
              "estimated_amount": 223.96
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.99
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 229,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 218.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "other",
              "standard_charge_algorithm": "Minimum of per diem, percent of billed, and fee schedule amounts.",
              "estimated_amount": 70.58,
              "additional_payer_notes": "CLINIC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "other",
              "standard_charge_algorithm": "Minimum of per diem, percent of billed, and fee schedule amounts.",
              "estimated_amount": 70.58,
              "additional_payer_notes": "CLINIC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 229,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.99
            },
            {
              "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": 229,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 218.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 220.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "other",
              "standard_charge_algorithm": "Minimum of per diem, percent of billed, and fee schedule amounts.",
              "estimated_amount": 70.58,
              "additional_payer_notes": "CLINIC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 219.84
            },
            {
              "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": 201.52
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.99,
              "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": 95,
              "estimated_amount": 217.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 217.55
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.99,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 223.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 125.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 77.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 229,
              "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": 194.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "other",
              "standard_charge_algorithm": "Minimum of per diem, percent of billed, and fee schedule amounts.",
              "estimated_amount": 70.58,
              "additional_payer_notes": "CLINIC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 229,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 217.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 229,
              "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": 95,
              "estimated_amount": 217.55
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 194.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 223.96
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 194.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 194.65
            },
            {
              "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": 148.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 229
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.99
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 77.86
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 218.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 218.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "other",
              "standard_charge_algorithm": "Minimum of per diem, percent of billed, and fee schedule amounts.",
              "estimated_amount": 70.58,
              "additional_payer_notes": "CLINIC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 229,
              "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": 95,
              "estimated_amount": 217.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 219.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 218.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 218.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 220.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 220.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 220.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "other",
              "standard_charge_algorithm": "Minimum of per diem, percent of billed, and fee schedule amounts.",
              "estimated_amount": 70.58,
              "additional_payer_notes": "CLINIC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 229,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 218.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 229,
              "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": 229,
              "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": 229,
              "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": 229,
              "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": 125.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 217.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 217.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 125.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 125.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 194.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 218.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 220.99
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 219.84
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 77.86
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 219.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 229,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 218.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 218.47
            },
            {
              "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": 95.4,
              "estimated_amount": 218.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 229,
              "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": 96,
              "estimated_amount": 219.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 217.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 218.47
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 217.55
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 194.65
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 217.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 125.95
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 219.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 223.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 217.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 217.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 218.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 218.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 220.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 220.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 229,
              "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": 229,
              "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": 229,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.99
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.99
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 154.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 218.47
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 219.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 125.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 217.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.99
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 77.86
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 77.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 218.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 125.95
            }
          ]
        }
      ]
    },
    {
      "description": "HC Excise Benign Lesion S N H F G",
      "code_information": [
        {
          "code": "PX-51000068",
          "type": "CDM"
        },
        {
          "code": "51000068",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1885,
          "discounted_cash": 1225.25,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1798.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1798.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1819.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1800.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1783.21
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1790.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1036.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 640.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1798.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1798.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1800.18
            },
            {
              "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": 1036.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1036.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1790.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1790.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1843.53
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 584.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 584.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 640.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1798.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1798.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1798.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1783.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1036.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1790.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 584.35
            },
            {
              "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": 1225.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1843.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1790.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1798.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1819.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1819.03
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 584.35
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 1270.49
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1809.6
            },
            {
              "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": 1658.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1790.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1798.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1800.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1800.18
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 584.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1809.6
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1790.75
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1790.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1798.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1819.03
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1809.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1602.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1885
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1809.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1798.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1819.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1783.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1783.21
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1809.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1800.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1783.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1783.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1783.21
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 584.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1798.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1800.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1783.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1036.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 640.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 584.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1036.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1790.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1602.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1800.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1783.21
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 640.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1798.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1798.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1819.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1800.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1783.21
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1790.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1602.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1602.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 584.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1798.29
            },
            {
              "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": 95.4,
              "estimated_amount": 1798.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1783.21
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 584.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1843.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1036.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1790.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1790.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1790.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1602.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1819.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1783.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1783.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1783.21
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1809.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1783.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1798.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1798.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1790.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 640.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1800.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1800.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1783.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1783.21
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1809.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1843.53
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 584.35
            }
          ]
        }
      ]
    },
    {
      "description": "HC Omt 1-2 Body Regions",
      "code_information": [
        {
          "code": "PX-53000001",
          "type": "CDM"
        },
        {
          "code": "98925",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 474,
          "discounted_cash": 308.1,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 452.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 452.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 474,
              "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": 474,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 450.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 402.9
            },
            {
              "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": 474,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 452.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 452.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 452.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 457.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 474,
              "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": 95,
              "estimated_amount": 450.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 450.3
            },
            {
              "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": 474,
              "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": 97.8,
              "estimated_amount": 463.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 450.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 452.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 474,
              "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": 474,
              "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": 96,
              "estimated_amount": 455.04
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 474,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 146.94,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 452.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 452.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 260.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 260.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 161.16
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 455.04
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 455.04
            },
            {
              "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": 308.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 260.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 450.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 452.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 452.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 452.67
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 146.94
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 161.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 452.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 452.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 452.2
            },
            {
              "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": 95.4,
              "estimated_amount": 452.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 452.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 452.67
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 450.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 452.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 474,
              "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": 474,
              "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": 417.12
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 450.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 161.16
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 146.94
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 161.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 463.57
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 402.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 452.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 457.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 457.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 457.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 474,
              "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": 474,
              "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": 96,
              "estimated_amount": 455.04
            },
            {
              "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": 474,
              "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": 260.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 402.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 146.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 452.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 452.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 452.67
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 146.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 457.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 452.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 474,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 146.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 260.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 402.9
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 146.94,
              "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": 95,
              "estimated_amount": 450.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 450.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 146.94
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 161.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 452.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 463.57
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 146.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 474,
              "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": 67.4,
              "estimated_amount": 319.48
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 455.04
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 402.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 452.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 452.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 457.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 474,
              "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.",
              "standard_charge_percentage": 31,
              "estimated_amount": 146.94,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 452.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 474,
              "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": 474
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 463.57
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 450.3
            },
            {
              "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": 474,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 260.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 450.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 450.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 474,
              "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": 474,
              "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": 474,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 146.94
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 450.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 452.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 457.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 474,
              "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": 474,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 455.04
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 402.9
            },
            {
              "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": 260.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 450.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 146.94
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 146.94
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 455.04
            }
          ]
        }
      ]
    },
    {
      "description": "HC MRI Lumbar Spine WO Contrast",
      "code_information": [
        {
          "code": "PX-61200005",
          "type": "CDM"
        },
        {
          "code": "72148",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2413,
          "discounted_cash": 1568.45,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2302
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2302
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2328.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2328.55
            },
            {
              "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": 2413,
              "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": 97.8,
              "estimated_amount": 2359.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2359.91
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 748.03
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 748.03,
              "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": 95.4,
              "estimated_amount": 2302
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2328.55
            },
            {
              "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": 2123.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2359.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2292.35
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 748.03
            },
            {
              "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": 2413,
              "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": 95.5,
              "estimated_amount": 2304.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2302
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2413,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 748.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2292.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 820.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1327.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2292.35
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 748.03,
              "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": 95.4,
              "estimated_amount": 2302
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2413,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 748.03,
              "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": 2051.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2304.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2413,
              "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": 95.4,
              "estimated_amount": 2302
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2304.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2304.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2413,
              "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": 96,
              "estimated_amount": 2316.48
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2316.48
            },
            {
              "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": 2413,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 748.03
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2292.35
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2051.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 748.03
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2316.48
            },
            {
              "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": 1568.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2302
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2302
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2302
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2328.55
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2413,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2292.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2051.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2316.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2328.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 748.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2302
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2304.42
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2292.35
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2292.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1327.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2292.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2292.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2302
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2302
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2304.42
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2413,
              "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": 1327.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2292.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 748.03
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2051.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 820.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2328.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2328.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2304.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2413,
              "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": 2413,
              "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": 96,
              "estimated_amount": 2316.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2359.91
            },
            {
              "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": 95.4,
              "estimated_amount": 2302
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2413,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 748.03
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 1626.36
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2051.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 820.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2302
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2304.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2304.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2413,
              "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": 2413,
              "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": 2413,
              "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": 1327.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1327.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2051.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 820.42
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 748.03
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2316.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1327.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1327.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 748.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2302
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2413,
              "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": 95,
              "estimated_amount": 2292.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2302
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2302
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2304.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2413,
              "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": 2413,
              "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": 2413,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2316.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2292.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2292.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 820.42
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2413,
              "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": 2413,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2302
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2413,
              "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": 2413,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "case rate",
              "standard_charge_dollar": 1136,
              "estimated_amount": 1136
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2292.35
            }
          ],
          "minimum": 1136,
          "maximum": 1136
        }
      ]
    },
    {
      "description": "HC MRI Chest WO Contrast",
      "code_information": [
        {
          "code": "PX-61400001",
          "type": "CDM"
        },
        {
          "code": "71550",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2634,
          "discounted_cash": 1712.1,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2512.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2515.47
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2528.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1448.7
            },
            {
              "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": 1448.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1448.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1448.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 816.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2238.9
            },
            {
              "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": 2634,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2512.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2541.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2541.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2515.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2634,
              "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": 2634,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 816.54
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2528.64
            },
            {
              "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": 2634,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2238.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 895.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2634
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2502.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2512.84
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2502.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2512.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2512.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2515.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2634,
              "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": 2634,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 816.54
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2502.3
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2238.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2502.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2576.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2576.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 895.56
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2238.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2512.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2634,
              "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": 2634,
              "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": 2634,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 816.54
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2528.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2502.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2528.64
            },
            {
              "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": 1712.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2576.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1448.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2502.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2512.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2512.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2634,
              "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": 2634,
              "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": 2634,
              "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": 95,
              "estimated_amount": 2502.3
            },
            {
              "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": 2634,
              "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": 95,
              "estimated_amount": 2502.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2541.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2515.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2515.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2515.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2634,
              "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": 1448.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1448.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2502.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2576.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2502.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 816.54
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 895.56
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 816.54,
              "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": 95.4,
              "estimated_amount": 2512.84
            },
            {
              "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": 95.4,
              "estimated_amount": 2512.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2634,
              "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": 2317.92
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 816.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2502.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2512.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2512.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2541.81
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 816.54
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 816.54,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2512.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2512.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2512.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2515.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2634,
              "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": 95,
              "estimated_amount": 2502.3
            },
            {
              "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": 2634,
              "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": 2634,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2512.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2541.81
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 816.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2238.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2502.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 895.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2512.84
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 816.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2515.47
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2528.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2634,
              "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": 2634,
              "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": 96.5,
              "estimated_amount": 2541.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2634,
              "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": 67.4,
              "estimated_amount": 1775.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2502.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2238.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 816.54
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2528.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2512.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2541.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2515.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2515.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2634,
              "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": 2634,
              "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": 96,
              "estimated_amount": 2528.64
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 816.54,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 895.56
            }
          ]
        }
      ]
    },
    {
      "description": "HC MRI Abdomen W WO Contrast",
      "code_information": [
        {
          "code": "PX-61400021",
          "type": "CDM"
        },
        {
          "code": "74183",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3409,
          "discounted_cash": 2215.85,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3252.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3252.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3289.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3409,
              "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": 67.4,
              "estimated_amount": 2297.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3334
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1874.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1874.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1159.06
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1159.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3252.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3252.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3289.69
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1056.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3334
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3334
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2897.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3238.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2897.65
            },
            {
              "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": 3409,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3255.6
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2897.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3252.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3289.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3255.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3409,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1056.79
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1056.79,
              "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": 2999.92
            },
            {
              "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": 2215.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3238.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1056.79
            },
            {
              "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": 95.4,
              "estimated_amount": 3252.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3409,
              "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": 3409,
              "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": 96,
              "estimated_amount": 3272.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3255.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3255.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3409,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1056.79
            },
            {
              "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": 3409,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2897.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3238.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1056.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3252.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3252.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3252.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3289.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3255.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3255.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3272.64
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2897.65
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1056.79,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3272.64
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3272.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3252.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3409,
              "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": 95.4,
              "estimated_amount": 3252.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3252.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3289.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3409,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1056.79
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3409,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3272.64
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1159.06
            },
            {
              "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": 1874.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1874.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3238.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1056.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3409,
              "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": 3409,
              "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": 3409,
              "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": 95,
              "estimated_amount": 3238.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1159.06
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3238.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3255.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3255.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3409,
              "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": 3409,
              "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": 95.4,
              "estimated_amount": 3252.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3252.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3252.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3289.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3255.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3255.6
            },
            {
              "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": 3409,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1056.79
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3272.64
            },
            {
              "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": 3409,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3289.69
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3238.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3409
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3238.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1056.79
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3238.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1874.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3238.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1159.06
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2897.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3252.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3409,
              "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": 3409,
              "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": 96,
              "estimated_amount": 3272.64
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3238.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3252.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3409,
              "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": 97.8,
              "estimated_amount": 3334
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3238.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1056.79
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1056.79,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3252.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3409,
              "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": 3409,
              "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": 95,
              "estimated_amount": 3238.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1874.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1874.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3238.55
            },
            {
              "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": 3409,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC MRI Card Ltd W and WO Contrast and Further Seq",
      "code_information": [
        {
          "code": "PX-61400024",
          "type": "CDM"
        },
        {
          "code": "75561",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4358,
          "discounted_cash": 2832.7,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4157.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4205.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4161.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4161.89
            },
            {
              "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": 4358,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1350.98,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1350.98
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4183.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4157.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4205.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4205.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4161.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4358,
              "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": 3704.3
            },
            {
              "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": 2396.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1481.72
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1350.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4157.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4205.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4161.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4358,
              "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": 4358,
              "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": 67.4,
              "estimated_amount": 2937.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4157.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4157.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4161.89
            },
            {
              "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": 3835.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4262.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4140.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4183.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2396.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1350.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4157.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4358,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1481.72
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1350.98,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4157.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4161.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4358,
              "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": 3704.3
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3704.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4157.53
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1350.98
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4140.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4262.12
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1481.72
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1350.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4157.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4157.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4157.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4157.53
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4183.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4262.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4140.1
            },
            {
              "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": 4358,
              "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": 4358,
              "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": 4358,
              "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": 4358,
              "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": 95.5,
              "estimated_amount": 4161.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4358,
              "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": 4358,
              "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": 4358,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1350.98
            },
            {
              "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": 4358,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4140.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4358
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2396.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2396.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1350.98
            },
            {
              "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": 2832.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4183.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4140.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4157.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4205.47
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4140.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4140.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4157.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4358,
              "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": 96,
              "estimated_amount": 4183.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4157.53
            },
            {
              "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": 95.4,
              "estimated_amount": 4157.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4358,
              "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": 4358,
              "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": 4358,
              "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": 4358,
              "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": 95,
              "estimated_amount": 4140.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4140.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1350.98
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4140.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3704.3
            },
            {
              "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": 4358,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4157.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4205.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2396.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4140.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3704.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2396.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2396.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4140.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1481.72
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3704.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4140.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1481.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4161.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4358,
              "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": 96,
              "estimated_amount": 4183.68
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4358,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4161.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4358,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1350.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4183.68
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1350.98
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1350.98,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4157.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4205.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4161.89
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4140.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4262.12
            }
          ]
        }
      ]
    },
    {
      "description": "HC Mra Abdomen WO Contrast",
      "code_information": [
        {
          "code": "PX-61800004",
          "type": "CDM"
        },
        {
          "code": "74185",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2902,
          "discounted_cash": 1886.3,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2902,
              "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": 2902,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 986.68
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 899.62
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2902,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2771.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2771.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2771.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2902,
              "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": 96,
              "estimated_amount": 2785.92
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2756.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2756.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2756.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2756.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2902,
              "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": 96,
              "estimated_amount": 2785.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2800.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2771.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2902,
              "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": 2902,
              "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": 95,
              "estimated_amount": 2756.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2756.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2466.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 899.62,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2785.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2800.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2902,
              "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": 95,
              "estimated_amount": 2756.9
            },
            {
              "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": 1596.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2756.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2785.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2800.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2902,
              "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": 2902,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2902,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 899.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1596.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1596.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2756.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2771.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2902,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 899.62,
              "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": 1596.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1596.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 899.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2771.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2902,
              "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": 2902,
              "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": 2553.76
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 899.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2800.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2771.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2902,
              "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": 2902,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2756.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1596.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2756.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 986.68
            },
            {
              "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": 2902,
              "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": 97.8,
              "estimated_amount": 2838.16
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 899.62
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 986.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2771.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2771.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2902,
              "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": 2466.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2838.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2902
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2785.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2800.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2800.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2902,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 899.62
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 899.62
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2785.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2902,
              "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": 2466.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1596.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2756.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 899.62
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2466.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 899.62,
              "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": 1886.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2902,
              "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": 67.4,
              "estimated_amount": 1955.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2785.92
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 986.68
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 986.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2838.16
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 899.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2800.43
            },
            {
              "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": 2902,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2756.9
            },
            {
              "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": 95.4,
              "estimated_amount": 2768.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2771.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2838.16
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2466.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2756.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2466.7
            },
            {
              "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": 2902,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 899.62
            }
          ]
        }
      ]
    },
    {
      "description": "HC Pacu Stage 2 1st 30 Minutes",
      "code_information": [
        {
          "code": "PX-71000006",
          "type": "CDM"
        },
        {
          "code": "71000006",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1089,
          "discounted_cash": 707.85,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1038.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1040
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1034.55
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1045.44
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 925.65
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 925.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 598.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1034.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 337.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 337.59
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1045.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1038.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1030.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1030.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1065.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1065.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1034.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 337.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 598.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1034.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1034.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 925.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1038.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1030.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1030.19
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 337.59
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1045.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1038.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1030.19
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1034.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1034.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 925.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 598.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1034.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1038.91
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 337.59
            },
            {
              "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": 958.32
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 925.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1038.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1038.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1050.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1050.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1030.19
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1034.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1038.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1040
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1034.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 598.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1034.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1034.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 598.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1034.55
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1045.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1038.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1050.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1050.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1040
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1030.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1030.19
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 370.26
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 337.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1030.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1030.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1038.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1038.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1040
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1030.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1030.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1030.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 598.95
            },
            {
              "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": 598.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 370.26
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 337.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1034.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1050.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1040
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1040
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1030.19
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 733.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1038.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1038.91
            },
            {
              "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": 95.4,
              "estimated_amount": 1038.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1050.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1030.19
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 337.59
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1045.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1065.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1089
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1038.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1050.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1030.19
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 370.26
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 370.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1065.04
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 337.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1040
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1040
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1040
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1040
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 337.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1038.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1030.19
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1045.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1038.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1038.91
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1045.44
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 370.26
            },
            {
              "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": 707.85
            }
          ]
        }
      ]
    },
    {
      "description": "HC Event Recording",
      "code_information": [
        {
          "code": "PX-73100002",
          "type": "CDM"
        },
        {
          "code": "93270",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 875,
          "discounted_cash": 568.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 834.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 844.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 875,
              "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": 875,
              "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": 875,
              "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": 875,
              "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": 770
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 271.25,
              "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": 875,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 844.38
            },
            {
              "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": 875,
              "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": 481.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 831.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 743.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 481.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 271.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 297.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 840
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 834.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 834.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 844.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 835.63
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 875,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 834.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 835.63
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 743.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 481.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 831.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 743.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 297.5
            },
            {
              "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": 875,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 831.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 834.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 834.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 834.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 875,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 271.25
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 589.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 875
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 481.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 297.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 844.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 835.63
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 840
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 831.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 875,
              "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": 875,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 271.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 831.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 271.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 297.5
            },
            {
              "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": 568.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 855.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 271.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 834.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 835.63
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 271.25,
              "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": 481.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 831.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 743.75
            },
            {
              "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": 875,
              "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": 95.4,
              "estimated_amount": 834.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 875,
              "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": 875,
              "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": 743.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 834.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 844.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 831.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 271.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 840
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 831.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 835.63
            },
            {
              "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": 875,
              "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": 97.8,
              "estimated_amount": 855.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 481.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 831.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 840
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 834.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 834.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 835.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 875,
              "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": 875,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 271.25
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 831.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 834.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 840
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 844.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 875,
              "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": 875,
              "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": 481.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 831.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 743.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 855.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 831.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 271.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 844.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 835.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 875,
              "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": 875,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 271.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 840
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 831.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 834.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 834.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 835.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 835.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 835.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 875,
              "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": 875,
              "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": 96,
              "estimated_amount": 840
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 855.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 831.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 834.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 834.75
            },
            {
              "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": 95.4,
              "estimated_amount": 834.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 271.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 271.25,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Electrocorticogram at Surgery",
      "code_information": [
        {
          "code": "PX-74000007",
          "type": "CDM"
        },
        {
          "code": "95829",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5235,
          "discounted_cash": 3402.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4994.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4994.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4994.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4994.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4999.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5235,
              "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": 5235,
              "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": 4606.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5119.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4973.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1622.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4994.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5051.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5051.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5051.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4999.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5235,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1622.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4994.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4994.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4999.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2879.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5119.83
            },
            {
              "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": 2879.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4973.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1779.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4994.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5051.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4999.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4999.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5235,
              "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": 5235,
              "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": 5235,
              "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": 5235,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1622.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4994.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5051.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5235,
              "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": 95,
              "estimated_amount": 4973.25
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4449.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4994.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5235,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1622.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5025.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4973.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1779.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2879.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4973.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5025.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5025.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4994.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2879.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4973.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4994.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4994.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4994.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5051.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4999.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4999.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5235,
              "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": 4449.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2879.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4973.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4973.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1779.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4449.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5025.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4994.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5235,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1622.85
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5025.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5119.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2879.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4973.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1622.85
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1622.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5235,
              "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": 5235,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5051.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5235,
              "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": 95,
              "estimated_amount": 4973.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4973.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1622.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4973.25
            },
            {
              "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": 3402.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4449.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4449.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4994.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4999.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5235,
              "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": 95,
              "estimated_amount": 4973.25
            },
            {
              "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": 95.4,
              "estimated_amount": 4994.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4999.43
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5025.6
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1622.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5235
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5119.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2879.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1622.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1779.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1779.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4994.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4999.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5235,
              "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": 5235,
              "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": 67.4,
              "estimated_amount": 3528.39
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5025.6
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4973.25
            }
          ]
        }
      ]
    },
    {
      "description": "HC Sleep Study Unattended",
      "code_information": [
        {
          "code": "PX-74000017",
          "type": "CDM"
        },
        {
          "code": "95806",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2760,
          "discounted_cash": 1794,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2633.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2633.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2633.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2663.4
            },
            {
              "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": 2760,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2622
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2699.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2633.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2760,
              "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": 2760,
              "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": 95,
              "estimated_amount": 2622
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2622
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2622
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1518
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2649.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2633.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2635.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2760,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2633.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2663.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2760,
              "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": 95,
              "estimated_amount": 2622
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2622
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 855.6,
              "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": 2760,
              "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": 96.5,
              "estimated_amount": 2663.4
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 855.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2649.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1518
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2622
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2346
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2663.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2635.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2760,
              "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": 2760,
              "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": 96,
              "estimated_amount": 2649.6
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2346
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2633.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2760,
              "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": 2760,
              "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": 2760,
              "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": 96,
              "estimated_amount": 2649.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2760
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1518
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 938.4
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 938.4
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2760,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2633.04
            },
            {
              "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": 95.4,
              "estimated_amount": 2633.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2635.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2699.28
            },
            {
              "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": 1518
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1794
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 855.6
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 855.6,
              "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": 95.4,
              "estimated_amount": 2633.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2760,
              "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": 2760,
              "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": 67.4,
              "estimated_amount": 1860.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 855.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 855.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2346
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2622
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2622
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 938.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2649.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2635.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2635.8
            },
            {
              "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": 2428.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 855.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 938.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2633.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2663.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2635.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2760,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 855.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2633.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2699.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1518
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2663.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2635.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2760,
              "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": 2760,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 855.6
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2622
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2622
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2760,
              "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": 95.4,
              "estimated_amount": 2633.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2635.8
            },
            {
              "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": 2760,
              "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": 97.8,
              "estimated_amount": 2699.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2622
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 855.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2346
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 938.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2633.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2633.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2663.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2635.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2760,
              "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": 2760,
              "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": 96,
              "estimated_amount": 2649.6
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2760,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2622
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2622
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2633.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2633.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2635.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2760,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2649.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1518
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2346
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 855.6,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 855.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2633.04
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2346
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1518
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 855.6
            }
          ]
        }
      ]
    },
    {
      "description": "Esophagoscopy W/ Sclerosis Varices",
      "code_information": [
        {
          "code": "PX-75000004",
          "type": "CDM"
        },
        {
          "code": "43204",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4140,
          "discounted_cash": 2691,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3949.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3949.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3949.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3995.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3974.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4048.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3933
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3974.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3949.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3995.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3916.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3916.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3916.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2277
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3933
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3519
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1283.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3974.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4048.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3933
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1283.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3949.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3995.1
            },
            {
              "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": 3643.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3953.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3916.44
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1283.4
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1283.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2277
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1407.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3933
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1283.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3949.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3995.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3953.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3916.44
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1283.4
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3933
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3519
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4140,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1407.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3949.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3953.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3953.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3916.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3974.4
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3974.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3916.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3916.44
            },
            {
              "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": 2277
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2277
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3933
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1283.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1407.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3953.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3916.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3916.44
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3933
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3953.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3949.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3949.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3949.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3953.7
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3933
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2277
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3933
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3933
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2691
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1407.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3995.1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1283.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3949.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3995.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3953.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3916.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3916.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3916.44
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 2790.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3974.4
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3933
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3916.44
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1283.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1283.4
            },
            {
              "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": 95.4,
              "estimated_amount": 3949.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3949.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3949.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3949.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3949.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3953.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3916.44
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3519
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4048.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4048.92
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3933
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3974.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3949.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3953.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3916.44
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3933
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2277
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3933
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1407.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3519
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3949.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3995.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3916.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2277
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3519
            }
          ]
        }
      ]
    },
    {
      "description": "HC Ugi Endo US With Fna Esophagus",
      "code_information": [
        {
          "code": "PX-75000014",
          "type": "CDM"
        },
        {
          "code": "43238",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4695,
          "discounted_cash": 3051.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4479.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4479.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4483.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4483.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4441.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4460.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4460.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1455.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4530.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4483.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4441.47
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1455.45
            },
            {
              "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": 4131.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1596.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1596.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1455.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4591.71
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4460.25
            },
            {
              "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": 4695,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4483.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4441.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4441.47
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1455.45
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1470,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4479.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4479.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4530.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4441.47
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4507.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1455.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2582.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2582.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1596.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1455.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1596.3
            },
            {
              "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": 4695,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4460.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4591.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4460.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1455.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4460.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4483.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4483.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4441.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4479.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4441.47
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4460.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2582.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1528.22,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1455.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3990.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4479.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4530.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4483.73
            },
            {
              "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": 4695,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3990.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4591.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4460.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1596.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3990.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3990.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4479.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4479.03
            },
            {
              "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": 95.4,
              "estimated_amount": 4479.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4483.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4441.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4530.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4530.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4441.47
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4460.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1528.22,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4507.2
            },
            {
              "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": 4695,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4483.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4441.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4441.47
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4695,
              "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": 4695,
              "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": 2582.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4460.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4479.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4479.03
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3990.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4479.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4479.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4591.71
            },
            {
              "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": 2582.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4507.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4507.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4507.2
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4460.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4507.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4479.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4530.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4441.47
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1455.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4460.25
            },
            {
              "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": 3051.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2582.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4479.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4530.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4483.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4441.47
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4507.2
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1455.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4479.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4441.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4441.47
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 3164.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2582.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4460.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4460.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3990.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4479.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4479.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4441.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4441.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4695,
              "additional_payer_notes": "OP SURG "
            }
          ]
        }
      ]
    },
    {
      "description": "HC Ugi Endo US Guided Fna",
      "code_information": [
        {
          "code": "PX-75000018",
          "type": "CDM"
        },
        {
          "code": "43242",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5836,
          "discounted_cash": 3793.4,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5567.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5567.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5573.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5520.86
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5544.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4960.6
            },
            {
              "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": 5836,
              "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": 96.5,
              "estimated_amount": 5631.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5520.86
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4960.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5544.2
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1809.16
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5602.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5544.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1984.24
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4960.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1984.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5567.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5567.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5567.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5631.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5631.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5631.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5520.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5707.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5544.2
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5602.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5707.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5836,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3209.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5567.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5631.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5631.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5520.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5520.86
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5602.56
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1809.16
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5544.2
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4960.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1809.16
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5544.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5573.38
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5602.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5520.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5520.86
            },
            {
              "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": 5836,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5544.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4960.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1899.62,
              "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": 95,
              "estimated_amount": 5544.2
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1899.62,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1984.24
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5602.56
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5836,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5567.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5567.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5573.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5520.86
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1809.16
            },
            {
              "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": 5836,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5544.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1809.16
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1984.24
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5544.2
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1809.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5567.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5567.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5573.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5573.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5520.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5520.86
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1827.25,
              "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": 96,
              "estimated_amount": 5602.56
            },
            {
              "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": 5135.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3209.8
            },
            {
              "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": 5836,
              "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": 97.8,
              "estimated_amount": 5707.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5707.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5567.54
            },
            {
              "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": 95.4,
              "estimated_amount": 5567.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5567.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5573.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5573.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5520.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5544.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1809.16
            },
            {
              "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": 3793.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5567.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5631.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5520.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5520.86
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5602.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5567.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5567.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5520.86
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1809.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3209.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5544.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1809.16
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4960.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5573.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5520.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5520.86
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1809.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3209.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5544.2
            },
            {
              "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": 3209.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3209.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5567.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5573.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5573.38
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5836,
              "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": 95.4,
              "estimated_amount": 5567.54
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 3933.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5520.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3209.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5544.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1984.24
            }
          ]
        }
      ]
    },
    {
      "description": "HC Colonoscopy W Polypectomy",
      "code_information": [
        {
          "code": "PX-75000102",
          "type": "CDM"
        },
        {
          "code": "45385",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5917,
          "discounted_cash": 3846.05,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5644.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5644.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5644.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5709.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5650.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5597.48
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5029.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2011.78
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2011.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5644.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5709.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5597.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5597.48
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1834.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5621.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5621.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5644.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5709.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5650.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5650.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5597.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5597.48
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1852.61,
              "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": 95.4,
              "estimated_amount": 5644.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5644.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5650.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5650.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5597.48
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5621.15
            },
            {
              "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": 3254.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3254.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1834.27
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1834.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5029.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2011.78
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1834.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5709.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5597.48
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5621.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5786.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3254.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1834.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5029.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5644.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5709.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5650.74
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5621.15
            },
            {
              "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": 5917,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5917,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2011.78
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5621.15
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1925.98,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5621.15
            },
            {
              "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": 5917,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5644.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5650.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5650.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5597.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5597.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3254.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3254.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2011.78
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5029.45
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1925.98,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1834.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5644.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5644.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5709.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5597.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5597.48
            },
            {
              "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": 5206.96
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1834.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5786.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5621.15
            },
            {
              "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": 5917,
              "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": 97.8,
              "estimated_amount": 5786.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5621.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5650.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5597.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5597.48
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5029.45
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5680.32
            },
            {
              "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": 5917,
              "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": 95.5,
              "estimated_amount": 5650.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5597.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5597.48
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 3988.06
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1834.27
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5029.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5644.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5644.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5644.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5786.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3254.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5709.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5597.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5597.48
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5917,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5621.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5621.15
            },
            {
              "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": 3846.05
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1834.27
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5680.32
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5680.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5621.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5680.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5621.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1834.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5644.82
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5680.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5644.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5644.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5644.82
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5680.32
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5680.32
            },
            {
              "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": 5917,
              "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": 3254.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5621.15
            }
          ]
        }
      ]
    },
    {
      "description": "HC Refill and Maintenance of Implanted Pump",
      "code_information": [
        {
          "code": "PX-76100002",
          "type": "CDM"
        },
        {
          "code": "95990",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1736,
          "discounted_cash": 1128.4,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1656.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1656.14
            },
            {
              "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": 95.4,
              "estimated_amount": 1656.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1656.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1675.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1736,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 538.16
            },
            {
              "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": 1527.68
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1649.2
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1475.6
            },
            {
              "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": 954.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1649.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1649.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1675.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1736,
              "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": 1736,
              "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": 95,
              "estimated_amount": 1649.2
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1649.2
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1475.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 954.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1656.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1656.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1675.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1657.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1736,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 538.16
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 1170.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1666.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1656.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1675.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1657.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1736,
              "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": 1736,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 538.16
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 538.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1656.14
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1666.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1697.81
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1475.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 590.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1656.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1675.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1736,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 538.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1666.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1736,
              "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": 95,
              "estimated_amount": 1649.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1736
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1697.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 954.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 954.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1649.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1656.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1656.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1656.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1736,
              "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": 95,
              "estimated_amount": 1649.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1675.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1657.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1657.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1736,
              "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": 1736,
              "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": 95.4,
              "estimated_amount": 1656.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1657.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1736,
              "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": 1736,
              "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": 96,
              "estimated_amount": 1666.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 954.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1649.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 590.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1475.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1666.56
            },
            {
              "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": 1128.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 954.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 538.16
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1649.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1656.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1736,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 590.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1475.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 590.24
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 538.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1657.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1736,
              "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": 95.4,
              "estimated_amount": 1656.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1697.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1736,
              "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": 1736,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 538.16
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1666.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1656.14
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1649.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1666.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1649.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1649.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1649.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 538.16
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 590.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1657.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1656.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1675.24
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 538.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1697.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 954.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1656.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1657.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1657.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1657.88
            }
          ]
        }
      ]
    },
    {
      "description": "HC Psych Diagnostic Eval",
      "code_information": [
        {
          "code": "PX-90000002",
          "type": "CDM"
        },
        {
          "code": "90791",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 502,
          "discounted_cash": 326.3,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 484.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 479.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 479.41
            },
            {
              "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": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 476.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 490.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 490.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 476.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 476.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 155.62
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 155.62
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 170.68
            },
            {
              "payer_name": "MOLINA 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": "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/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502,
              "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": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 155.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 490.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 490.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 479.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 276.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 170.68
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 155.62,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 155.62,
              "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": 502,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 155.62
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 170.68
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 170.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 476.9
            },
            {
              "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 OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 479.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 479.41
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 502,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 476.9
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 476.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 476.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 476.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 155.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "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": 441.76
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 476.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 276.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 484.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 479.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 479.41
            },
            {
              "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": "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": "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": "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 155.62
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 479.41
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 155.62
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 476.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 476.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 170.68
            },
            {
              "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": 326.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 484.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 484.43
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 155.62
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 426.7
            },
            {
              "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": 502,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 155.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 338.35
            },
            {
              "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": 502,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 155.62,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 476.9
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 476.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 155.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 476.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 484.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 479.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 479.41
            },
            {
              "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": "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "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": 502,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "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": 502,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 484.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 484.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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
            },
            {
              "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": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 276.1
            },
            {
              "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": 95.4,
              "estimated_amount": 478.91
            },
            {
              "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/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Psychoanalysis",
      "code_information": [
        {
          "code": "PX-91400007",
          "type": "CDM"
        },
        {
          "code": "90845",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 957,
          "discounted_cash": 622.05,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 912.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 912.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 913.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 957,
              "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": 97.8,
              "estimated_amount": 935.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 909.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 325.38
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 296.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 912.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 923.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 913.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 957,
              "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": 957,
              "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": 526.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 909.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 296.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 935.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 296.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 913.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 957,
              "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": 957,
              "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": 95.4,
              "estimated_amount": 912.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 957,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 296.67
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 296.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 909.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 813.45
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 918.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 912.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 912.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 923.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 923.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 913.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 957,
              "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": 526.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 325.38
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 813.45
            },
            {
              "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": 622.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 912.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 957,
              "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": 957,
              "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": 957,
              "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": 67.4,
              "estimated_amount": 645.02
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 909.15
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 813.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 913.94
            },
            {
              "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": 957,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 918.72
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 909.15
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 296.67
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 918.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 957
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 526.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 912.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 912.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 912.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 918.72
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 909.15
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 325.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 912.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 957,
              "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": 842.16
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 909.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 923.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 526.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 909.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 813.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 296.67
            },
            {
              "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": 95.4,
              "estimated_amount": 912.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 913.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 957,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 296.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 526.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 909.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 296.67
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 909.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 918.72
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 909.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 935.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 923.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 913.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 957,
              "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": 96,
              "estimated_amount": 918.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 526.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 909.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 325.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 912.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 913.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 957,
              "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": 526.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 325.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 912.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 912.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 957,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 296.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 918.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 912.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 912.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 912.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 923.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 913.94
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 813.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 923.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 913.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 957,
              "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": 97.8,
              "estimated_amount": 935.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 909.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 909.15
            }
          ]
        }
      ]
    },
    {
      "description": "HC Med Wt Screen W/Outside Lab&Ekg",
      "code_information": [
        {
          "code": "PX-94200011",
          "type": "CDM"
        },
        {
          "code": "S9449",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 308,
          "discounted_cash": 200.2,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 293.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 297.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 308,
              "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": 95,
              "estimated_amount": 292.6
            },
            {
              "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": 308,
              "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": 95.4,
              "estimated_amount": 293.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 297.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 294.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 308,
              "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": 308,
              "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": 308,
              "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": 67.4,
              "estimated_amount": 207.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 308
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 169.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 292.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 261.8
            },
            {
              "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": 308,
              "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": 169.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 95.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 293.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 297.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 294.14
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 95.48
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 295.68
            },
            {
              "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": 308,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 293.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 292.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 293.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 293.83
            },
            {
              "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": 271.04
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 292.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 292.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 95.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 308,
              "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": 95.4,
              "estimated_amount": 293.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 293.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 297.22
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 295.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 301.22
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 100.25,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 295.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 169.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 292.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 261.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 297.22
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 292.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 293.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 293.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 295.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 293.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 294.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 294.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 308,
              "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": 96,
              "estimated_amount": 295.68
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 308,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 95.48
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 292.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 169.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 261.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 293.83
            },
            {
              "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": 308,
              "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": 308,
              "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": 308,
              "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": 97.8,
              "estimated_amount": 301.22
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 295.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 293.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 297.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 297.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 308,
              "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": 261.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 293.83
            },
            {
              "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": 169.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 294.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 294.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 308,
              "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": 308,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 95.48
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 292.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 169.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 292.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 104.72
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 292.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 261.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 95.48
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 295.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 294.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 294.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 308,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 95.48
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 96.43,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 100.25,
              "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": 200.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 301.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 301.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 95.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 104.72
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 104.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 293.83
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 104.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 294.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 308,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 95.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 293.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 293.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 308,
              "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": 261.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 169.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 292.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 292.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 95.48
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 104.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 293.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 294.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 308,
              "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": 308,
              "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": 308,
              "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": 95,
              "estimated_amount": 292.6
            },
            {
              "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": 308,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "Wrap Self-Adherent Wrap Coban 3 in X 5 Yds",
      "code_information": [
        {
          "code": "PX-CH-3M1583",
          "type": "CDM"
        },
        {
          "code": "A6454",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.04,
          "discounted_cash": 1.33,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.04,
              "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": 1.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95.5,
              "estimated_amount": 1.95
            },
            {
              "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": "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": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.94
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.63,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.95
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.63,
              "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": 95.4,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.63,
              "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": 95.4,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.63
            },
            {
              "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": 2.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.94
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.94
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 1.12
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95.4,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 2.04,
              "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": 2.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.95
            },
            {
              "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": "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.97
            },
            {
              "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 GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.04,
              "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": 1.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95,
              "estimated_amount": 1.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.94
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.97
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.04,
              "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": 1.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.69
            },
            {
              "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": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 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": 96.5,
              "estimated_amount": 1.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 1.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.94
            },
            {
              "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": 2.04,
              "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": 95.4,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.95
            },
            {
              "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": "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": "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 PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 1.94
            }
          ]
        }
      ]
    },
    {
      "description": "Barrier Wand No-Sting 3.0 Ml Large",
      "code_information": [
        {
          "code": "PX-CH-3M3345",
          "type": "CDM"
        },
        {
          "code": "A4369",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.25,
          "discounted_cash": 2.11,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 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": 1.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 3.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.09
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 3.09
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.25,
              "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": 3.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 3.09
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 1.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.09
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "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": 3.25,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.25,
              "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": 3.25,
              "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": 96,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 3.25,
              "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": 3.25,
              "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": 96,
              "estimated_amount": 3.12
            },
            {
              "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": 2.86
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.09
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 3.09
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.01
            },
            {
              "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": 3.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 1.79
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 3.25,
              "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": 3.25,
              "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": 3.25,
              "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": 3.25,
              "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": 95.4,
              "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": 95.5,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 2.76
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.25,
              "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": 3.25,
              "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": 1.79
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.25,
              "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": 3.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.09
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.25,
              "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": 3.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.01,
              "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": 97.8,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.12
            }
          ]
        }
      ]
    },
    {
      "description": "Non-Adherent Drsg Impreg Strl Adaptic 3 in X 16",
      "code_information": [
        {
          "code": "PX-CH-JJ2014",
          "type": "CDM"
        },
        {
          "code": "A6223",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.16,
          "discounted_cash": 2.05,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3
            },
            {
              "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": "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": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.16,
              "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": 3.16,
              "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": 97.8,
              "estimated_amount": 3.09
            },
            {
              "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": 1.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.07
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 3
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.03
            },
            {
              "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": 3.16,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.16,
              "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": 3.16,
              "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": 95,
              "estimated_amount": 3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.09
            },
            {
              "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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 1.74
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3.16,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3
            },
            {
              "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": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.05
            },
            {
              "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": 3.16,
              "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": 3.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.16,
              "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": 1.74
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.16,
              "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": 95.4,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.16,
              "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": 3.16
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 3.16,
              "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": 95,
              "estimated_amount": 3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.98,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.98,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.16,
              "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": 3.16,
              "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": 96,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.03
            },
            {
              "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 ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.16,
              "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": 3.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.98,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.98
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.16,
              "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": 2.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3
            }
          ]
        }
      ]
    },
    {
      "description": "\"Wound Therapy Pico System 4\"\" X 12\"\" Negative Pressure\"",
      "code_information": [
        {
          "code": "PX-CH-UN66800952",
          "type": "CDM"
        },
        {
          "code": "A9272",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 257.5,
          "discounted_cash": 167.37,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 245.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 248.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 257.5,
              "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": 141.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 244.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 244.63
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 218.88
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 79.83,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 245.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 245.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 248.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 257.5,
              "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": 257.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 79.83
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 244.63
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 218.88
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 218.88
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 79.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 251.84
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 87.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 245.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 248.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 245.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 245.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 257.5,
              "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": 96,
              "estimated_amount": 247.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 248.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 244.63
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 79.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 244.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 244.63
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 244.63
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 79.83,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 245.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 141.63
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 79.83
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 87.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 247.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 245.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 248.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 257.5,
              "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": 257.5,
              "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": 141.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 141.63
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 244.63
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 247.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 245.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 257.5,
              "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": 257.5,
              "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": 141.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 244.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 244.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 245.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 245.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 257.5,
              "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": 95.4,
              "estimated_amount": 245.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 248.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 245.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 245.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 257.5,
              "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": 257.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 247.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 257.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 141.63
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 79.83
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 218.88
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 79.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 257.5,
              "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": 257.5,
              "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": 97.8,
              "estimated_amount": 251.84
            },
            {
              "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": 141.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 245.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 245.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 245.91
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 244.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 245.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 251.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 257.5,
              "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": 226.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 245.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 245.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 245.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 245.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 257.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 79.83,
              "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": 97.8,
              "estimated_amount": 251.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 218.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 244.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 245.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 245.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 248.49
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 79.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 247.2
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 244.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 245.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 245.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 245.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 257.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 79.83
            },
            {
              "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": 257.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 79.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 87.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 87.55
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 247.2
            },
            {
              "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": 95.4,
              "estimated_amount": 245.66
            },
            {
              "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": 257.5,
              "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": 257.5,
              "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": 96,
              "estimated_amount": 247.2
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 244.63
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 79.83
            }
          ]
        }
      ]
    },
    {
      "description": "\"1pc Pre-Cut Deep Cvx 1\"\" Sensura\"",
      "code_information": [
        {
          "code": "PX-CH-CO16771",
          "type": "CDM"
        },
        {
          "code": "A4389",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.51,
          "discounted_cash": 1.63,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.4
            },
            {
              "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 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": "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.38
            },
            {
              "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": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.41
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.4
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78
            },
            {
              "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": 2.21
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78,
              "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": 1.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 2.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.4
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.39
            },
            {
              "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": "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/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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.38
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.4
            },
            {
              "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": "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.45
            },
            {
              "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 SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.39
            },
            {
              "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": "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 96.5,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.38
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.38
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 2.39
            },
            {
              "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 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/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": "BUCKEYE COMMUNITY 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": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.4
            },
            {
              "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": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 2.13
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.38
            }
          ]
        }
      ]
    },
    {
      "description": "HC Ot Wheelchair Training 15 Min",
      "code_information": [
        {
          "code": "PX-43000032",
          "type": "CDM"
        },
        {
          "code": "97542",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 139,
          "discounted_cash": 90.35,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 132.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 132.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 134.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 132.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 139,
              "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": 139,
              "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": 139,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.09
            },
            {
              "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": 122.32
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 132.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 76.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 76.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 132.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.09
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 133.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 132.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 132.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.09
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 93.69
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 133.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 76.45
            },
            {
              "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": 76.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 132.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.09
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 47.26
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 47.26
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.09,
              "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": 95.4,
              "estimated_amount": 132.61
            },
            {
              "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": 139,
              "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": 139,
              "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": 139,
              "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": 139,
              "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": 139,
              "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": 95.4,
              "estimated_amount": 132.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 134.14
            },
            {
              "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": 139,
              "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": 97.8,
              "estimated_amount": 135.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 132.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 118.15
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.09,
              "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": 76.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 132.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 132.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 47.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 132.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 132.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 132.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 76.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 132.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 132.05
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 132.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.09
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.09,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 132.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 132.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 118.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 139
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 132.05
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.09
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 132.05
            },
            {
              "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": 90.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 132.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 132.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 134.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 132.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 139,
              "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": 139,
              "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": 95,
              "estimated_amount": 132.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 132.61
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 133.44
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 132.05
            },
            {
              "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": 95.4,
              "estimated_amount": 132.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 134.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 132.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 139,
              "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": 95,
              "estimated_amount": 132.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 135.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 76.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.09
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 118.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.09
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 133.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 132.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 132.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 132.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 139,
              "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": 139,
              "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": 95.4,
              "estimated_amount": 132.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 132.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 135.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 134.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 132.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 139,
              "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": 139,
              "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": 96,
              "estimated_amount": 133.44
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.09
            },
            {
              "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": 139,
              "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": 139,
              "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": 139,
              "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": 139,
              "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": 139,
              "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": 118.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 132.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 134.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 132.61
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 139,
              "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": 95,
              "estimated_amount": 132.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 47.26
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 47.26
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 118.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 133.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 134.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 132.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 133.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 135.94
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 118.15
            },
            {
              "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": 139,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Set Cardioplegia Blood",
      "code_information": [
        {
          "code": "PX-27200369",
          "type": "CDM"
        },
        {
          "code": "27200369",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 161,
          "discounted_cash": 104.65,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 153.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 153.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 152.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 49.91
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 108.51
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 154.56
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 152.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 157.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 152.95
            },
            {
              "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": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 152.95
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 152.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 54.74
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 154.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 155.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 153.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 152.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 154.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 153.59
            },
            {
              "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": 95.4,
              "estimated_amount": 153.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 155.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 152.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 152.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 154.56
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 54.74
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 54.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 153.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 153.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 152.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 49.91
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 136.85
            },
            {
              "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-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 154.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 153.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 153.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 152.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 49.91
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 152.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 152.31
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 157.46
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 152.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 153.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 153.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 153.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 153.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 152.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 152.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 152.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 88.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 152.95
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 49.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 153.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 155.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 152.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 153.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 153.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 155.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 155.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 153.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 153.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 152.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 49.91
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 54.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 157.46
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 88.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 49.91
            },
            {
              "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": 104.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 153.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 153.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 153.76
            },
            {
              "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": 141.68
            },
            {
              "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": 88.55
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 152.95
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 54.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 153.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 153.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 155.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 153.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 153.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 152.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 152.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 152.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 152.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 153.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 152.31
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 154.56
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 152.95
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 49.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 157.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 152.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 49.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 153.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 152.31
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 154.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 155.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 152.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 152.31
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 152.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 153.59
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 49.91
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 49.91
            }
          ]
        }
      ]
    },
    {
      "description": "HC Cannula Retrograde",
      "code_information": [
        {
          "code": "PX-27200375",
          "type": "CDM"
        },
        {
          "code": "27200375",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 192,
          "discounted_cash": 124.8,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 183.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 183.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 181.63
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 182.4
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 65.28
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 182.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 65.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 183.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 183.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 181.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 105.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 182.4
            },
            {
              "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": "HUMANA [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": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 183.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 183.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 183.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 183.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 184.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 185.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 185.28
            },
            {
              "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": 168.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 187.78
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 183.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 183.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 185.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 185.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 183.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 183.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 181.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 181.63
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 182.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 183.17
            },
            {
              "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": 95.4,
              "estimated_amount": 183.17
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 182.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 181.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 181.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 181.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 181.63
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 65.28
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 65.28
            },
            {
              "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": 105.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 182.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 184.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 183.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 183.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 181.63
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 184.32
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 182.4
            },
            {
              "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": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 183.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 181.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 185.28
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 182.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 187.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 182.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 182.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 183.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 183.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 183.17
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 65.28
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 184.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 183.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 185.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 181.63
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 184.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 183.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 187.78
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 185.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 183.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 181.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 181.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 182.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 182.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 59.52
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 59.52
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 163.2
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 105.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 182.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 184.32
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 184.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 183.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 183.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 183.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 183.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 183.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 181.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 181.63
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 129.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 181.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 181.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 187.78
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 182.4
            }
          ]
        }
      ]
    },
    {
      "description": "HC Maze Product Level 01",
      "code_information": [
        {
          "code": "PX-27200384",
          "type": "CDM"
        },
        {
          "code": "27200384",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2774,
          "discounted_cash": 1803.1,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2646.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2676.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2676.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2649.17
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 1869.68
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2663.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2712.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2635.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 943.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2646.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2624.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2624.2
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 859.94
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2635.3
            },
            {
              "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": 1525.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1525.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2712.97
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 943.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2624.2
            },
            {
              "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": 2441.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2774
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 859.94
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2357.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2635.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 943.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2646.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2649.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2624.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2624.2
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 859.94
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2357.9
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2635.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2663.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2624.2
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 859.94
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2635.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 859.94
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2357.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 859.94
            },
            {
              "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": 1803.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2635.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2635.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2676.91
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2663.04
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 943.16
            },
            {
              "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": 95.4,
              "estimated_amount": 2646.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2646.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2646.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2676.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2649.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2649.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2624.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2663.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2649.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2649.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2624.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2624.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2624.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2712.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2635.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1525.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2646.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2646.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2624.2
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2663.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2712.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1525.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2635.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2635.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2646.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2676.91
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 859.94
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2357.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2646.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2646.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2646.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2646.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2676.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2649.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2624.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2624.2
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2635.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 859.94
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2635.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 859.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2646.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2676.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2649.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2649.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2624.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1525.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1525.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 859.94
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 943.16
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2357.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2646.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2649.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2624.2
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2663.04
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2663.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2646.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2635.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2635.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2646.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2646.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2624.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2624.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1525.7
            }
          ]
        }
      ]
    },
    {
      "description": "HC Maze Product Level 03",
      "code_information": [
        {
          "code": "PX-27200386",
          "type": "CDM"
        },
        {
          "code": "27200386",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2051,
          "discounted_cash": 1333.15,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1956.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1956.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1979.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1948.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1956.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1956.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1940.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1940.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1968.96
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1948.45
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1948.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1948.45
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1968.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1128.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1128.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 697.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 697.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1979.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1940.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 635.81
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 697.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1948.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 697.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1956.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1956.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1956.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1956.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1940.25
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 635.81
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 635.81
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1743.35
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 635.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1956.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1979.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1940.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1940.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1940.25
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 635.81
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1948.45
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1743.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1979.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1958.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1958.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1940.25
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 1382.37
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1968.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2005.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 635.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2005.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1958.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1958.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1940.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1940.25
            },
            {
              "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": 1128.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1128.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1979.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1958.71
            },
            {
              "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": 95.4,
              "estimated_amount": 1956.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1956.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1956.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2051
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1948.45
            },
            {
              "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": 1333.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2005.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1128.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1743.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1979.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1958.71
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1968.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1948.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1948.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 697.34
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1968.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1956.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1940.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1956.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1958.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1958.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1958.71
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1948.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1948.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1956.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1940.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1940.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1948.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1128.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1128.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1948.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1948.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 635.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1956.65
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 635.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1979.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1958.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1940.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1956.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1956.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1940.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1940.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1968.96
            },
            {
              "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": 1804.88
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 635.81
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1743.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 635.81
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1743.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1968.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1940.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2005.88
            }
          ]
        }
      ]
    },
    {
      "description": "HC Maze Product Level 05",
      "code_information": [
        {
          "code": "PX-27200388",
          "type": "CDM"
        },
        {
          "code": "27200388",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8825,
          "discounted_cash": 5736.25,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8419.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8427.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8427.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8348.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4853.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4853.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8472
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8419.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8348.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8348.45
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8472
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8630.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2735.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8516.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8427.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8348.45
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2735.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8472
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8419.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8427.88
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8383.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8383.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3000.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2735.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3000.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8419.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8516.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8427.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8348.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8348.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8348.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8472
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8630.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7501.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8419.05
            },
            {
              "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": 95.4,
              "estimated_amount": 8419.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8427.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8348.45
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2735.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8472
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 8825
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2735.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3000.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7501.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3000.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3000.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8419.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8348.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8348.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8348.45
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7501.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8419.05
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 5948.05
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8383.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8419.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8419.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8516.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8348.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8348.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4853.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8383.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8383.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2735.75
            },
            {
              "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": 5736.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4853.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8383.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8419.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8427.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2735.75
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2735.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8383.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8419.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8516.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8427.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8348.45
            },
            {
              "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": 7766
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8383.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8419.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8516.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8516.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8348.45
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8383.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4853.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7501.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8472
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8419.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8427.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8348.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8383.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8472
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8630.85
            },
            {
              "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": 4853.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8383.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8383.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8427.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8419.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8419.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8419.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8516.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8348.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8630.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4853.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2735.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8383.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8419.05
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7501.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8383.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2735.75
            }
          ]
        }
      ]
    },
    {
      "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44304.71
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44118.95
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14396.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44304.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44304.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 43933.19
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44118.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 45419.3
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44118.95
            },
            {
              "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": 30186.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14396.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 43933.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44304.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44304.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44351.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44351.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 43933.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 43933.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 43933.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44118.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44118.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15789.94
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25542.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44304.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44351.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 43933.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44583.36
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44583.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 44815.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 43933.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 43933.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44304.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44304.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 44815.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 44815.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44351.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 43933.19
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15789.94
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15789.94
            },
            {
              "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": 25542.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44118.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44118.95
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44304.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 44815.57
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 31301.23
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39474.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15789.94
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14396.71
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15789.94
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44583.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44304.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 43933.19
            },
            {
              "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": 40868.08
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44118.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44351.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44351.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 45419.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44118.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14396.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44304.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 44815.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44351.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44351.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44351.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25542.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14396.71
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44304.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44304.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25542.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 43933.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 43933.19
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14396.71
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14396.71
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44583.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44118.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44118.95
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14396.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 45419.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44118.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 45419.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14396.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44304.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44351.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 43933.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 43933.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44583.36
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44583.36
            },
            {
              "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": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44304.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44304.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44304.71
            },
            {
              "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": 95.4,
              "estimated_amount": 44304.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 44815.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 43933.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 43933.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 43933.19
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14396.71
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44118.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 44815.57
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44118.95
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44583.36
            }
          ]
        }
      ]
    },
    {
      "description": "HC Heart Valve 20",
      "code_information": [
        {
          "code": "PX-27800166",
          "type": "CDM"
        },
        {
          "code": "27800166",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 20634,
          "discounted_cash": 13412.1,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19684.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19911.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19705.47
            },
            {
              "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": 11348.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19602.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19602.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19684.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19684.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 19519.76
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6396.54
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7015.56
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19602.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6396.54
            },
            {
              "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": 13412.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19684.84
            },
            {
              "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": 95.4,
              "estimated_amount": 19684.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19911.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 19519.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 19519.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 19519.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19808.64
            },
            {
              "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": 18157.92
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17538.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17538.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6396.54
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19808.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19684.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19911.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 19519.76
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19602.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6396.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19602.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 19519.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 19519.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19808.64
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6396.54
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19602.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19684.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19684.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19705.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19705.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 19519.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 20180.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11348.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7015.56
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19808.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11348.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11348.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6396.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19684.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19684.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19911.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19705.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19684.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19684.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19684.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 19519.76
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6396.54
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6396.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19684.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 19519.76
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19602.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11348.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19602.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19602.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 20180.05
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6396.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 19519.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 19519.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19602.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19684.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 19519.76
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19808.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11348.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19705.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 19519.76
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 13907.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19602.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7015.56
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17538.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7015.56
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19808.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19705.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 19519.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 20180.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 20634
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6396.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19684.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19911.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19705.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 19519.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 19519.76
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17538.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19684.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19684.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19911.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19705.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19705.47
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19808.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 20180.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19602.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19911.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19705.47
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19602.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11348.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19602.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17538.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7015.56
            }
          ]
        }
      ]
    },
    {
      "description": "HC Heart Valve 22",
      "code_information": [
        {
          "code": "PX-27800168",
          "type": "CDM"
        },
        {
          "code": "27800168",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 23212,
          "discounted_cash": 15087.8,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22144.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22144.25
            },
            {
              "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": 95.4,
              "estimated_amount": 22144.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 22399.58
            },
            {
              "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": 20426.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12766.6
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 22283.52
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 22283.52
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19730.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 22701.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22051.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22051.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12766.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12766.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22051.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 22399.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 21958.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7195.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22144.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 22399.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22167.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22167.46
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7195.72
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7195.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12766.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7195.72
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22051.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7195.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 22399.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 21958.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 21958.55
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22051.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22051.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7195.72
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19730.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22144.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22144.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22144.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22144.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22167.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 21958.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 21958.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 21958.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7892.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 22701.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22144.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 21958.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 21958.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 22283.52
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22051.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19730.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7892.08
            },
            {
              "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": 15087.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22144.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22144.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22167.46
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19730.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22144.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22144.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 21958.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12766.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12766.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22051.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7892.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22144.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 22399.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22167.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22167.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 21958.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 22283.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22144.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 21958.55
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 15644.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 22701.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22144.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22167.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 21958.55
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22051.4
            },
            {
              "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": 12766.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22051.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7892.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22144.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 21958.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 21958.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 23212
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 22701.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7195.72
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19730.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 22283.52
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 22283.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22051.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22144.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 22399.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 22399.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22167.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 21958.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 22283.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22167.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 21958.55
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22051.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22051.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7195.72
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7892.08
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7195.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22167.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 21958.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7195.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22051.4
            }
          ]
        }
      ]
    },
    {
      "description": "HC Immunocytochemistry Antibody Stain",
      "code_information": [
        {
          "code": "PX-31000124",
          "type": "CDM"
        },
        {
          "code": "88342",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 333,
          "discounted_cash": 216.45,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 317.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 317.68
            },
            {
              "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/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 316.35
            },
            {
              "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": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 316.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 103.23
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 113.22
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 113.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 321.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 319.68
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 319.68
            },
            {
              "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": 333,
              "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": 95.4,
              "estimated_amount": 317.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 317.68
            },
            {
              "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": 95.4,
              "estimated_amount": 317.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 321.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 321.35
            },
            {
              "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 OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "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": 96,
              "estimated_amount": 319.68
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 319.68
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 316.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 325.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 316.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 316.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 316.35
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 319.68
            },
            {
              "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": 183.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 103.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 103.23
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 319.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 317.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 321.35
            },
            {
              "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": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 103.23
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 103.23
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 319.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 317.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 321.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 321.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 103.23
            },
            {
              "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": 333,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 317.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 318.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 325.67
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 283.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 316.35
            },
            {
              "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": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 318.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "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": 293.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 316.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 316.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 113.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 317.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 318.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 333,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 316.35
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 283.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 317.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 317.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 317.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 317.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 317.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 321.35
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 103.23
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 103.23,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 325.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 325.67
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 183.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 316.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 113.22
            },
            {
              "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": 333,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 318.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 318.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 318.02
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 103.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 317.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 317.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 318.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 317.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 318.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 103.23,
              "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": 333,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 103.23
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 183.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 317.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 318.02
            },
            {
              "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 OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 103.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 316.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 316.35
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 103.23,
              "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": 216.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 318.02
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 224.44
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 316.35
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 283.05
            },
            {
              "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": "OUTPATIENT"
            }
          ],
          "minimum": 589.69,
          "maximum": 589.69
        }
      ]
    },
    {
      "description": "HC Renal Transcath Sympath Denerv Bil",
      "code_information": [
        {
          "code": "PX-32300021",
          "type": "CDM"
        },
        {
          "code": "0339T",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13569,
          "discounted_cash": 8819.85,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12944.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13094.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13094.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12958.4
            },
            {
              "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": 13569,
              "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": 13569,
              "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": 95,
              "estimated_amount": 12890.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12890.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13026.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12944.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12944.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12958.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12890.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4206.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7462.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7462.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4613.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12944.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12944.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13094.09
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13026.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13026.24
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11533.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12890.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12890.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4206.39
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13026.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13270.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7462.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7462.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12890.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12890.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12944.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12944.83
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4206.39
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11533.65
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4613.46
            },
            {
              "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": 8819.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12944.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13569,
              "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": 13569,
              "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": 13569,
              "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": 95,
              "estimated_amount": 12890.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12944.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12958.4
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4206.39
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13026.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13270.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12890.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4206.39
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13026.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12890.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4613.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13094.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12958.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12958.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13270.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4613.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12958.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12958.4
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12890.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12944.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12944.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12958.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13569,
              "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": 7462.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11533.65
            },
            {
              "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": 95.4,
              "estimated_amount": 12944.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13094.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13569,
              "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": 97.8,
              "estimated_amount": 13270.48
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11533.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12944.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13094.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13569,
              "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": 67.4,
              "estimated_amount": 9145.51
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12890.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12944.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12944.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12944.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12958.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13569,
              "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": 13569,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4206.39
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13026.24
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12890.55
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11533.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12944.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12958.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13569,
              "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": 13569,
              "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": 13569,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4206.39
            },
            {
              "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": 11940.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7462.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4206.39
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4206.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13569,
              "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": 95,
              "estimated_amount": 12890.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4613.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13094.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13569,
              "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": 13569,
              "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": 13569,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4206.39
            },
            {
              "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": 7462.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12944.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13569,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Plc Breast Lcl Device W Mammo Guid 1st Les",
      "code_information": [
        {
          "code": "PX-36100724",
          "type": "CDM"
        },
        {
          "code": "19281",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 286,
          "discounted_cash": 185.9,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 272.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 271.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 97.24
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 88.66,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 272.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 286,
              "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": 286,
              "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": 286,
              "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": 286,
              "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": 157.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 157.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 286
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 271.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 271.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 88.66
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 97.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 272.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 272.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 273.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 273.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 286,
              "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": 286,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 272.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 272.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 273.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 273.13
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 243.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 279.71
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 274.56
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 274.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 279.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 157.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 271.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 88.66
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 243.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 275.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 273.13
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 88.66
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 88.66
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 88.66
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 192.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 243.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 274.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 272.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 272.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 286,
              "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": 286,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 88.66,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 271.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 275.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 273.13
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 274.56
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 88.66
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 243.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 88.66
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 97.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 243.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 157.3
            },
            {
              "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": 157.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 271.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 88.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 272.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 272.84
            },
            {
              "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": 95.4,
              "estimated_amount": 272.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 272.84
            },
            {
              "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": 286,
              "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": 157.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 243.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 272.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 275.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 273.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 272.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 273.13
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 88.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 157.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 286,
              "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": 286,
              "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": 286,
              "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": 96,
              "estimated_amount": 274.56
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 271.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 271.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 271.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 97.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 272.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 275.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 286,
              "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": 286,
              "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": 95,
              "estimated_amount": 271.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 273.13
            },
            {
              "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": 286,
              "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": 96.5,
              "estimated_amount": 275.99
            },
            {
              "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": 286,
              "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": 286,
              "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": 286,
              "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": 97.8,
              "estimated_amount": 279.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 279.71
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 88.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 271.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 271.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 286,
              "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": 286,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 272.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 272.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 275.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 273.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 286,
              "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": 251.68
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 271.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 271.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 88.66,
              "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": 185.9
            },
            {
              "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": 286,
              "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": 95.4,
              "estimated_amount": 272.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 275.99
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 274.56
            },
            {
              "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": 286,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 274.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 97.24
            }
          ]
        }
      ]
    },
    {
      "description": "HC Stent Placemt Retro Carotid",
      "code_information": [
        {
          "code": "PX-36100742",
          "type": "CDM"
        },
        {
          "code": "37217",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 19993,
          "discounted_cash": 12995.45,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19073.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19073.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19093.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19993,
              "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": 16994.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18993.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19293.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19293.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19993,
              "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": 17593.84
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18993.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 19553.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6197.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6797.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 19553.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10996.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19193.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19073.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19093.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19993,
              "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": 96,
              "estimated_amount": 19193.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19073.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19073.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19093.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19093.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19093.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19993,
              "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": 19993,
              "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": 19993,
              "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": 19993,
              "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": 95,
              "estimated_amount": 18993.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6197.83
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19193.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19993,
              "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": 95,
              "estimated_amount": 18993.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16994.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6797.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19093.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19093.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19993,
              "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": 96,
              "estimated_amount": 19193.28
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16994.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10996.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16994.05
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6197.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19073.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19093.32
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6197.83
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18993.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 19553.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10996.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18993.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6197.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19073.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19073.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19073.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19073.32
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18993.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18993.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19073.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19993,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6197.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19073.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19993,
              "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": 19993,
              "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": 96,
              "estimated_amount": 19193.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10996.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10996.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6797.62
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6797.62
            },
            {
              "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": 95.4,
              "estimated_amount": 19073.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19293.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19293.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18993.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18993.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18993.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6797.62
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6197.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19073.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19073.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19073.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19293.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19993,
              "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": 67.4,
              "estimated_amount": 13475.28
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18993.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19093.32
            },
            {
              "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": 19993,
              "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": 19993,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6197.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18993.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6197.83
            },
            {
              "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": 12995.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19073.32
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6197.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 19553.15
            },
            {
              "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": 10996.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10996.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16994.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19073.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19293.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19293.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19093.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19993,
              "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": 19993,
              "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": 19993,
              "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": 96,
              "estimated_amount": 19193.28
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19193.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18993.35
            }
          ]
        }
      ]
    },
    {
      "description": "HC Removal Subq Defib Electrode",
      "code_information": [
        {
          "code": "PX-36100758",
          "type": "CDM"
        },
        {
          "code": "33272",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 20853,
          "discounted_cash": 13554.45,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19893.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19893.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20123.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19914.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19914.62
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 14054.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 20018.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 20018.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 20394.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6464.43
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 6464.43,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19893.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19893.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19914.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20853,
              "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": 20853,
              "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": 11469.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 20394.23
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 20018.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20123.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20853,
              "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": 20853,
              "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": 95.4,
              "estimated_amount": 19893.76
            },
            {
              "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": 20853,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19810.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "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": 11469.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19810.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19810.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19893.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20123.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20853,
              "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": 20853,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6464.43
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17725.05
            },
            {
              "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": 11469.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7090.02
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7090.02
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19810.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7090.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19893.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19893.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20853,
              "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": 96,
              "estimated_amount": 20018.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19893.76
            },
            {
              "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": 95.4,
              "estimated_amount": 19893.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19893.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19893.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19914.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19914.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19914.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20853,
              "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": 95,
              "estimated_amount": 19810.35
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17725.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 20394.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11469.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19810.35
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 6464.43,
              "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": 20853,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7090.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19914.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19810.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6464.43
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 20853,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19893.76
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 20853,
              "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": 95.5,
              "estimated_amount": 19914.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11469.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19810.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20123.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19914.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19914.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20853,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6464.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11469.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19810.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19810.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6464.43
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17725.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17725.05
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6464.43
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 20018.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20853,
              "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": 18350.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19893.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19893.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20853,
              "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": 20853,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6464.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19810.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6464.43
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17725.05
            },
            {
              "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": 20853,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17725.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19893.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20123.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20853,
              "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": 20853,
              "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": 20853,
              "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": 20853,
              "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": 20853,
              "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": 13554.45
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6464.43
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19810.35
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 20018.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20123.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 20394.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19810.35
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6464.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19893.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19893.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20123.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20853,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 6464.43,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19810.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11469.15
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7090.02
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 20018.88
            }
          ]
        }
      ]
    },
    {
      "description": "HC St Behvrl and Qual Analysis of Voice",
      "code_information": [
        {
          "code": "PX-44400017",
          "type": "CDM"
        },
        {
          "code": "92524",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 119,
          "discounted_cash": 77.35,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 113.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 119,
              "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": 119,
              "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": 95,
              "estimated_amount": 113.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 113.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 113.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 114.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 119,
              "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": 97.8,
              "estimated_amount": 116.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 113.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 36.89
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 36.89
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 114.24
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 113.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 101.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 113.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 113.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 113.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 119,
              "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": 95.5,
              "estimated_amount": 113.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 113.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 119,
              "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": 95,
              "estimated_amount": 113.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 65.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 77.35
            },
            {
              "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": 119,
              "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": 97.8,
              "estimated_amount": 116.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 65.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 40.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 113.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 113.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 114.84
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 80.21
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 101.15
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 101.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 40.46
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 101.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 113.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 113.65
            },
            {
              "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": 119,
              "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": 95.4,
              "estimated_amount": 113.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 113.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 119,
              "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": 119,
              "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": 119,
              "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": 65.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 113.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 113.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 113.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 40.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 113.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 113.65
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 36.89,
              "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": 95,
              "estimated_amount": 113.05
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 113.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 113.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 114.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 113.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 119,
              "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": 119,
              "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": 119,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 113.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 113.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 113.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 114.84
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 36.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 116.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 65.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 113.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 36.89
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 36.89
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 101.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 114.24
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 40.46
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 114.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 113.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 113.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 113.65
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 36.89
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 114.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 114.24
            },
            {
              "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": 104.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 65.45
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 36.89,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 36.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 119,
              "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": 119,
              "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": 95.4,
              "estimated_amount": 113.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 114.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 114.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 119,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 36.89
            },
            {
              "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": 65.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 65.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 101.15
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 36.89,
              "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": 95.4,
              "estimated_amount": 113.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 119,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 36.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 116.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 119
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 113.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 113.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 119,
              "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": 119,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 114.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 113.65
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 114.24
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 113.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 113.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 36.89
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 40.46
            },
            {
              "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": 119,
              "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": 119,
              "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": 96.5,
              "estimated_amount": 114.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 119,
              "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": 119,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Fasciotomy Foot Toe",
      "code_information": [
        {
          "code": "PX-51000077",
          "type": "CDM"
        },
        {
          "code": "28008",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2496,
          "discounted_cash": 1622.4,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2381.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2381.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2381.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2381.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2496,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 773.76
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 773.76,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2441.09
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2121.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2381.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2381.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2383.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2496,
              "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": 2496,
              "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": 97.8,
              "estimated_amount": 2441.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1372.8
            },
            {
              "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": 2496,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2441.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2371.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 848.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2381.18
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 773.76
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2371.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2381.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2408.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2383.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2496,
              "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": 2496,
              "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": 2496,
              "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": 96,
              "estimated_amount": 2396.16
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2121.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2371.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2396.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2381.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2408.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2496,
              "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": 2496,
              "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": 1372.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 773.76
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 773.76,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2408.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2496,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 773.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2381.18
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2396.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2371.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2371.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 773.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 848.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2496
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 773.76,
              "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": 95.4,
              "estimated_amount": 2381.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2383.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2383.68
            },
            {
              "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": 2496,
              "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": 1372.8
            },
            {
              "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": 1372.8
            },
            {
              "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": 2496,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2381.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2381.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2383.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2381.18
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2396.16
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2121.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1372.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2371.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1372.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2371.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2121.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 848.64
            },
            {
              "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": 1622.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2381.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2408.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2496,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 773.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 773.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2381.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2496,
              "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": 2496,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2396.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2441.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2381.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2408.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2383.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2496,
              "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": 95,
              "estimated_amount": 2371.2
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 773.76
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 773.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2381.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2408.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2383.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2496,
              "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": 67.4,
              "estimated_amount": 1682.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2371.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 848.64
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2121.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2396.16
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 848.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2408.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2383.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2496,
              "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": 2496,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2371.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2496,
              "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": 2496,
              "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": 2496,
              "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": 95,
              "estimated_amount": 2371.2
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2121.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1372.8
            },
            {
              "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": 2496,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2383.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2383.68
            },
            {
              "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": 2196.48
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2371.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2371.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 773.76
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2371.2
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2396.16
            }
          ]
        }
      ]
    },
    {
      "description": "HC Ide G130005 Pro 1143399 Evas 1 Nellix Catheter",
      "code_information": [
        {
          "code": "PX-62400097",
          "type": "CDM"
        },
        {
          "code": "C1874",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8250,
          "discounted_cash": 5362.5,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7870.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7878.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7878.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8250,
              "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": 8250,
              "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": 8250,
              "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": 4537.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4537.5
            },
            {
              "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": 4537.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7012.5
            },
            {
              "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": 8250,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7870.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7870.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7878.75
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7837.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7012.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7837.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7837.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7012.5
            },
            {
              "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": 5362.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7837.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2557.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7870.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7961.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8250,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2557.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7870.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7870.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8250,
              "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": 8250,
              "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": 8250,
              "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.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2557.5,
              "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": 95.5,
              "estimated_amount": 7878.75
            },
            {
              "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": 8250,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8068.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4537.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7920
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7961.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7961.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7878.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2557.5
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 5560.5
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7837.5
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7920
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7870.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7878.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2557.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7837.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2557.5,
              "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": 8250
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4537.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7837.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7012.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7920
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7878.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8250,
              "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": 8250,
              "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": 8250,
              "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": 8250,
              "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": 97.8,
              "estimated_amount": 8068.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7870.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7878.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8250,
              "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": 95,
              "estimated_amount": 7837.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7961.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7878.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7920
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8068.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8068.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4537.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7837.5
            },
            {
              "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": 8250,
              "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": 95.4,
              "estimated_amount": 7870.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7870.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7870.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8250,
              "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": 7012.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2805
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7012.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2805
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7878.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8250,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2557.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7920
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7837.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7961.25
            },
            {
              "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": 7260
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7837.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2557.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2557.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2557.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7870.5
            },
            {
              "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": 8250,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2557.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7837.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2557.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2805
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7870.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7870.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7870.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7961.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8250,
              "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": 8250,
              "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": 8250,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7920
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7870.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7870.5
            },
            {
              "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": 8250,
              "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": 4537.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7837.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2805
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2805
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7870.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7961.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8250,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2557.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7837.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7920
            }
          ]
        }
      ]
    },
    {
      "description": "HC Esophagoscopy Transoral Stent Plcmnt",
      "code_information": [
        {
          "code": "PX-75000142",
          "type": "CDM"
        },
        {
          "code": "43212",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8815,
          "discounted_cash": 5729.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8409.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8409.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8418.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8418.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8338.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8338.99
            },
            {
              "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": 8815,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8374.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8462.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8506.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8506.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8418.33
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2732.65
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8462.4
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8374.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8621.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7492.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2997.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2732.65
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2732.65
            },
            {
              "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": 8815,
              "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": 4848.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8409.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8409.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8409.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8506.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8338.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8338.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8338.99
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2732.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8418.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8621.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8374.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7492.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7492.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8374.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2997.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8409.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8409.51
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2732.65
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8462.4
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8374.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8374.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2997.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8418.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8338.99
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2732.65
            },
            {
              "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": 7757.2
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8815,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7492.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4848.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8374.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8374.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7492.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8409.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8338.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8338.99
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8462.4
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8374.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8815,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4848.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8409.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8409.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8409.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8506.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8418.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8418.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8338.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8418.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8338.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8374.25
            },
            {
              "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": 5729.75
            },
            {
              "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": 8815,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8338.99
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 5941.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8621.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4848.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2732.65
            },
            {
              "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": 95.4,
              "estimated_amount": 8409.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8506.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8506.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8418.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4848.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8409.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8338.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8338.99
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7492.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8374.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2732.65
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2869.28,
              "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": 96,
              "estimated_amount": 8462.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8409.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8418.33
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8462.4
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2759.98,
              "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": 97.8,
              "estimated_amount": 8621.07
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2997.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2869.28,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8338.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8338.99
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8462.4
            },
            {
              "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": 8815,
              "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": 8815,
              "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": 95,
              "estimated_amount": 8374.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8409.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8409.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8409.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8506.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8338.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4848.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4848.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8374.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2732.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2732.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8409.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8338.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8374.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2997.1
            }
          ]
        }
      ]
    },
    {
      "description": "HC Esophagoscopy Flex W Balln Dilatn 30 Mm",
      "code_information": [
        {
          "code": "PX-75000143",
          "type": "CDM"
        },
        {
          "code": "43214",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4457,
          "discounted_cash": 2897.05,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4251.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4251.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4301.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4216.32
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1450.75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1515.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4301.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4216.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4216.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4216.32
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1381.67
            },
            {
              "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": 3922.16
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4234.15
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4278.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4256.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4278.72
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4234.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4251.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4251.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4216.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2451.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4234.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4234.15
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1515.38
            },
            {
              "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": 2897.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1515.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4256.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4216.32
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3788.45
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1381.67
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4278.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4251.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4251.98
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 3004.02
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4457,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4234.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4251.98
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3788.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2451.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1381.67
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3788.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4457,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4358.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1381.67
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1515.38
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4278.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4256.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4216.32
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1395.49,
              "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": 2451.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4234.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4234.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4234.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4251.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4251.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4256.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4251.98
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4278.72
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1450.75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4358.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4358.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2451.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1381.67
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1381.67
            },
            {
              "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": 4457,
              "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": 95.4,
              "estimated_amount": 4251.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4301.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4256.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4216.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4216.32
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4278.72
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4234.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4234.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1381.67
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3788.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4251.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4301.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4216.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4216.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4216.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4216.32
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1381.67
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1381.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4251.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4251.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2451.35
            },
            {
              "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": 95.4,
              "estimated_amount": 4251.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4301.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4256.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4256.44
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1381.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4278.72
            },
            {
              "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": 4457,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4251.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4256.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4216.32
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4457,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4358.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2451.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1515.38
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4234.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3788.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4251.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4256.44
            },
            {
              "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": 4457,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4251.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4301.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4301.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4256.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4216.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4216.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4216.32
            },
            {
              "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": 2451.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4234.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4234.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4234.15
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4457,
              "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": 3788.45
            }
          ]
        }
      ]
    },
    {
      "description": "Valproic Acid Free Sendout",
      "code_information": [
        {
          "code": "PX-30100954",
          "type": "CDM"
        },
        {
          "code": "80165",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 140,
          "discounted_cash": 91,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 133.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 133.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 50.78,
              "estimated_amount": 50.78
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 134.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 136.92
            },
            {
              "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": 140,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 135.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 50.78,
              "estimated_amount": 50.78
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 134.4
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 119
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 140
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 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": 77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 135.1
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 94.36
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 140,
              "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": 95.4,
              "estimated_amount": 133.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 135.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 135.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 50.78,
              "estimated_amount": 50.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 50.78,
              "estimated_amount": 50.78
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 134.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 119
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 134.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 119
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 133
            },
            {
              "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": 140,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 133.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 50.78,
              "estimated_amount": 50.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 133.7
            },
            {
              "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": 140,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.4,
              "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": 95,
              "estimated_amount": 133
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 47.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 133
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 133
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 119
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 50.78,
              "estimated_amount": 50.78
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 133
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 136.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 136.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 136.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 133
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 50.78,
              "estimated_amount": 50.78
            },
            {
              "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": 123.2
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 133
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 133.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 133.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 50.78,
              "estimated_amount": 50.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 50.78,
              "estimated_amount": 50.78
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 47.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 47.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 47.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 133
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 50.78,
              "estimated_amount": 50.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 50.78,
              "estimated_amount": 50.78
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 133
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 50.78,
              "estimated_amount": 50.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 50.78,
              "estimated_amount": 50.78
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.4
            },
            {
              "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": 140,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 133
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 133
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 133
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 119
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 133.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 50.78,
              "estimated_amount": 50.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 50.78,
              "estimated_amount": 50.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 50.78,
              "estimated_amount": 50.78
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 134.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 119
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 133.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 50.78,
              "estimated_amount": 50.78
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.4
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 133
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 135.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 133.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 133.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 133
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.4,
              "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": 96,
              "estimated_amount": 134.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 134.4
            },
            {
              "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": 140,
              "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": 95.4,
              "estimated_amount": 133.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 135.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 47.6
            }
          ],
          "minimum": 50.78,
          "maximum": 50.78
        }
      ]
    },
    {
      "description": "HC Antinuclear Abs (Ana) So",
      "code_information": [
        {
          "code": "PX-30200569",
          "type": "CDM"
        },
        {
          "code": "86038",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 111,
          "discounted_cash": 72.15,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 107.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 37.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.34,
              "estimated_amount": 45.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.34,
              "estimated_amount": 45.34
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 61.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 37.74
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 107.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "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": 97.68
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 108.56
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 108.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "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": 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": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.34,
              "estimated_amount": 45.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.34,
              "estimated_amount": 45.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.34,
              "estimated_amount": 45.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 107.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "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": 111,
              "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": 94.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "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": 72.15
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 37.74
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 107.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 37.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.34,
              "estimated_amount": 45.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.34,
              "estimated_amount": 45.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.34,
              "estimated_amount": 45.34
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 94.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "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": 111,
              "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": 111
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 107.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.34,
              "estimated_amount": 45.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.34,
              "estimated_amount": 45.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.34,
              "estimated_amount": 45.34
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.34,
              "estimated_amount": 45.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.34,
              "estimated_amount": 45.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "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": 111,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 74.81
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 111,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 108.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 107.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 107.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.34,
              "estimated_amount": 45.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.34,
              "estimated_amount": 45.34
            },
            {
              "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": 111,
              "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": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.34,
              "estimated_amount": 45.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.34,
              "estimated_amount": 45.34
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41,
              "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": 97.8,
              "estimated_amount": 108.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "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": 61.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 37.74
            }
          ],
          "minimum": 45.34,
          "maximum": 45.34
        }
      ]
    },
    {
      "description": "HC Immunochemical Fecal Occult Blood So",
      "code_information": [
        {
          "code": "PX-30500122",
          "type": "CDM"
        },
        {
          "code": "G0328",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 232,
          "discounted_cash": 150.8,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "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": 232,
              "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": 127.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 220.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 220.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 71.92
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 197.2
            },
            {
              "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": 232,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 226.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 127.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 78.88
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 71.92
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 197.2
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 71.92
            },
            {
              "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": 232,
              "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": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 71.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 223.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 197.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 220.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 226.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 220.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 220.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 197.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 78.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 71.92
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 71.92
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 78.88
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 232,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 223.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 156.37
            },
            {
              "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": 232,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 71.92
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 71.92,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 71.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 220.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 127.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 220.4
            },
            {
              "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": 150.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 223.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 223.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 223.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 220.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 71.92,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 220.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 197.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 220.4
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 71.92,
              "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": 97.8,
              "estimated_amount": 226.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 127.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 223.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 197.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 220.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 127.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 223.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 220.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 78.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 226.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 232
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 127.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 78.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 220.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 221.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 71.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "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": 204.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 127.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 220.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 222.72
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 71.92
            },
            {
              "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": 232,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Bun Amb",
      "code_information": [
        {
          "code": "PX-30100978",
          "type": "CDM"
        },
        {
          "code": "84520",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 15,
          "discounted_cash": 9.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.1
            },
            {
              "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": 15,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.25
            },
            {
              "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": 8.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.1
            },
            {
              "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": 9.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.65,
              "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": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14.48
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "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": 13.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 14.67
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.65
            },
            {
              "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": 15,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.31
            },
            {
              "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": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "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": 15,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14.48
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 15,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 14.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.25
            },
            {
              "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": 15,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "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": 15,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 14.67
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 14.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 10.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.25
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.4
            }
          ]
        }
      ]
    },
    {
      "description": "HC Strep Group B by Pcr Amp Probe",
      "code_information": [
        {
          "code": "PX-30600283",
          "type": "CDM"
        },
        {
          "code": "87653",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 111,
          "discounted_cash": 72.15,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 111,
              "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": 95,
              "estimated_amount": 105.45
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 108.56
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "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": 72.15
            },
            {
              "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": 111,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 108.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "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": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "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": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 107.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 107.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 107.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "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 MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 107.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 37.74
            },
            {
              "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": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 61.05
            },
            {
              "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": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 107.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "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": 97.68
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 37.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 108.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41,
              "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": 111,
              "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": 95.4,
              "estimated_amount": 105.89
            },
            {
              "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": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 107.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "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": 111,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 108.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 107.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "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": "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": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 37.74
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 37.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "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": 111,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 74.81
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "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": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 37.74
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            }
          ]
        }
      ]
    },
    {
      "description": "Estradiol; Total Sendout",
      "code_information": [
        {
          "code": "PX-30101311",
          "type": "CDM"
        },
        {
          "code": "82670",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 87,
          "discounted_cash": 56.55,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.52
            },
            {
              "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": 87,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 82.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.52
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 58.64
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 82.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 85.09
            },
            {
              "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": "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": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 82.65
            },
            {
              "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": 96,
              "estimated_amount": 83.52
            },
            {
              "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": 87,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.52
            },
            {
              "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": 76.56
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 82.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 83.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 83.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.52
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 87,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 82.65
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.97,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 29.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 82.65
            },
            {
              "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": 87,
              "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": 97.8,
              "estimated_amount": 85.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 82.65
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.52
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.97,
              "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": 87,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 85.09
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.97
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 29.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.52
            },
            {
              "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": 87,
              "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": 73.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.85
            },
            {
              "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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.97
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 83.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 83.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.52
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.97
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.97,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 83.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 82.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 82.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.97
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 29.58
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 82.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 82.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 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": 95.4,
              "estimated_amount": 83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 83
            },
            {
              "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": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.52
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.97
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 82.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 83.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.52
            },
            {
              "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 MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 29.58
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 82.65
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 83.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 85.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 82.65
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 29.58
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.97
            },
            {
              "payer_name": "HUMANA [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": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.97
            }
          ]
        }
      ]
    },
    {
      "description": "\"1pc Ctf Cvx V2 Plateau Size 13\"\" X 16\"\" to 1-3/8\"\" Stoma\"",
      "code_information": [
        {
          "code": "PX-CH-CV4216-19",
          "type": "CDM"
        },
        {
          "code": "A4389",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 12.05,
          "discounted_cash": 7.83,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 12.05,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.24
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.05,
              "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": 12.05,
              "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": 12.05,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 6.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.74,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 11.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.05,
              "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": 95,
              "estimated_amount": 11.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.78
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.05,
              "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": 95,
              "estimated_amount": 11.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.05,
              "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": 12.05,
              "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": 12.05,
              "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": 95.4,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.57
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.24
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.78
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.5
            },
            {
              "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": 95.4,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95,
              "estimated_amount": 11.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.63
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.74,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.05,
              "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": 96,
              "estimated_amount": 11.57
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 12.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.78
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.74
            },
            {
              "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": 12.05,
              "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": 96,
              "estimated_amount": 11.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.05,
              "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": 10.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.05,
              "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": 12.05,
              "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": 12.05,
              "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": 96,
              "estimated_amount": 11.57
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.24
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.63
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.24
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.74,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.05,
              "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": 96,
              "estimated_amount": 11.57
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.05,
              "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": 12.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.74
            },
            {
              "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": 6.63
            }
          ]
        }
      ]
    },
    {
      "description": "Hspc Room and Bed Kenton Nursing & Rehab",
      "code_information": [
        {
          "code": "PX-65900207",
          "type": "CDM"
        },
        {
          "code": "T2046",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 215.98,
          "discounted_cash": 140.39,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 206.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 207.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 215.98
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 73.43
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 205.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 208.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 206.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 215.98,
              "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": 215.98,
              "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": 95,
              "estimated_amount": 205.18
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 205.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 118.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 118.79
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 73.43
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.3,
              "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": 97.8,
              "estimated_amount": 211.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 205.18
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 73.43
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 207.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 208.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 206.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 215.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 207.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 206.26
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 215.98,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 205.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 205.18
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 205.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 206.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 215.98,
              "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": 215.98,
              "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": 183.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 211.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 205.18
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 183.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 206.04
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 183.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 208.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 208.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 206.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 215.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 205.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 205.18
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.95
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.3,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 206.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 206.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 215.98,
              "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": 95,
              "estimated_amount": 205.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 211.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 118.79
            },
            {
              "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": 118.79
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 206.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 206.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 206.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 206.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 215.98,
              "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": 96,
              "estimated_amount": 207.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 118.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 118.79
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 73.43
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 207.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 206.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 206.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 215.98,
              "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": 95,
              "estimated_amount": 205.18
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 183.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 206.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 206.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 206.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 206.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 215.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 206.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 118.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 208.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 208.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 206.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 206.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 215.98,
              "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": 95,
              "estimated_amount": 205.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 205.18
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 206.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 206.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 215.98,
              "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": 215.98,
              "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": 96,
              "estimated_amount": 207.34
            },
            {
              "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": 215.98,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 67.62,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 206.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 208.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 206.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 206.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 215.98,
              "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": 215.98,
              "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": 190.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 211.23
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 207.34
            },
            {
              "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": 95.4,
              "estimated_amount": 206.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 215.98,
              "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": 215.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 183.58
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 73.43
            }
          ]
        }
      ]
    },
    {
      "description": "Syringe Only 20ml Slip-Tip",
      "code_information": [
        {
          "code": "PX-CH-BD302831",
          "type": "CDM"
        },
        {
          "code": "A4213",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.96,
          "discounted_cash": 0.62,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.96,
              "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": 95,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.92
            },
            {
              "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": 0.96,
              "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": 0.84
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 67.4,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.96,
              "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": 0.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 0.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.96,
              "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": 0.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "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": 95,
              "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": 0.82
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.96,
              "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": 0.96,
              "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": 0.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.96,
              "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": 0.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.96,
              "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": 0.96,
              "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": 95,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.96,
              "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": 96,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "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": 0.96,
              "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": 0.96,
              "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": 95,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 97.8,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 0.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "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": 95.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 97.8,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 0.53
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.92
            },
            {
              "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": 0.62
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.96,
              "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": 95,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "Barrier Paste 4 1 / 2 Oz Karaya",
      "code_information": [
        {
          "code": "PX-CH-HO7910",
          "type": "CDM"
        },
        {
          "code": "A4405",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 20.04,
          "discounted_cash": 13.03,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.04,
              "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": 20.04,
              "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": 95,
              "estimated_amount": 19.04
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.21
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 20.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.04,
              "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": 20.04,
              "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": 20.04,
              "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": 95.4,
              "estimated_amount": 19.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.04,
              "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": 20.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.21
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 11.02
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.21
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.04,
              "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": 20.04,
              "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": 96,
              "estimated_amount": 19.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 19.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 19.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.14
            },
            {
              "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": 17.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.21
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 13.51
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.03
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.03
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.21
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.21
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19.34
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.04
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.04
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.04,
              "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": 95.4,
              "estimated_amount": 19.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.04,
              "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": 20.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 17.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.12
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 19.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.04,
              "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": 95.4,
              "estimated_amount": 19.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.14
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.21
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 17.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.14
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19.24
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19.24
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.04
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.04
            },
            {
              "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": 13.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 19.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.04,
              "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": 95,
              "estimated_amount": 19.04
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 96.5,
              "estimated_amount": 19.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.04,
              "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": 20.04,
              "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": 17.03
            },
            {
              "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": 11.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.04
            }
          ]
        }
      ]
    },
    {
      "description": "1 Pc Ctf Ext Wear Up to 2 1/2 in Premier",
      "code_information": [
        {
          "code": "PX-CH-HO8631",
          "type": "CDM"
        },
        {
          "code": "A4388",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.72,
          "discounted_cash": 1.77,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "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": 95.5,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.72,
              "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": 2.72,
              "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": 96,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 2.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 2.72,
              "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": 2.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.72,
              "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": 2.72,
              "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": 2.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "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": 2.39
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 2.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.72,
              "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": 2.72,
              "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": 2.72,
              "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": 2.72,
              "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": 2.72,
              "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": 2.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 1.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 97.8,
              "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": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.92
            },
            {
              "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": 1.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.72,
              "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": 2.72,
              "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": 2.72,
              "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": 2.72,
              "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": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.31
            },
            {
              "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": 1.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.72,
              "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": 2.72,
              "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": 2.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.72,
              "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": 2.72,
              "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": 67.4,
              "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": 97.8,
              "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": 97.8,
              "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": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 97.8,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.61
            },
            {
              "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": 1.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.72,
              "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": 2.72,
              "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": 96,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.5
            },
            {
              "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": 1.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 2.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "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": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.72,
              "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": 2.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.72,
              "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": 2.72,
              "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": 2.72,
              "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": 2.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 96,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.5
            },
            {
              "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": 1.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.72,
              "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": 2.72,
              "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": 2.72,
              "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": 2.72,
              "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": 2.72,
              "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": 2.72,
              "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": 96,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 97.8,
              "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": 97.8,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.72,
              "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": 2.72,
              "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": 2.72,
              "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": 2.72,
              "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": 2.72,
              "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": 2.72,
              "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": 2.72,
              "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": 2.72,
              "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": 67.4,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "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": 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": 2.39
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.72,
              "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": 2.72,
              "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": 96,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 2.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "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": 96.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.72,
              "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": 2.72,
              "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": 1.77
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.72,
              "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": 67.4,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95.4,
              "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": 95.4,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.72,
              "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": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.92
            }
          ]
        }
      ]
    },
    {
      "description": "HC Chromogenic Substrate Assay So",
      "code_information": [
        {
          "code": "PX-30500137",
          "type": "CDM"
        },
        {
          "code": "85130",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1030,
          "discounted_cash": 669.5,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 982.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 982.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 988.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 988.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 988.8
            },
            {
              "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": 669.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 982.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 982.62
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 978.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 978.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 978.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 319.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 988.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 988.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 988.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 988.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 993.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 988.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 988.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 988.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 988.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 566.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 566.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 978.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 319.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 319.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1007.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1007.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 350.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 993.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 993.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 988.8
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 319.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 988.8
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 319.3,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 566.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 978.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 319.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 319.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 875.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 319.3,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 982.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 982.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 982.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 988.8
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 319.3
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 319.3
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 978.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 982.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 993.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 988.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 988.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 566.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 988.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 978.5
            },
            {
              "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": 95.4,
              "estimated_amount": 982.62
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 875.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 978.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 982.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 982.62
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 978.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 982.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 988.8
            },
            {
              "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": 906.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 978.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 350.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 978.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 978.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 350.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 350.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 982.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 993.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1030
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 978.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 875.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 982.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 988.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 988.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 988.8
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 875.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 982.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 988.8
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 978.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 982.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 993.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 988.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 988.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1007.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1007.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 566.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 875.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 319.3,
              "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": 566.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 982.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 993.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 988.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 988.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 988.8
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 988.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 988.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 982.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 988.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 988.8
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 319.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 566.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 350.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 988.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 988.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.89,
              "estimated_amount": 11.89
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 319.3
            }
          ],
          "minimum": 11.89,
          "maximum": 11.89
        }
      ]
    },
    {
      "description": "2 Pc Pouch 2 3/4 in Natura Invisiclose",
      "code_information": [
        {
          "code": "PX-CH-CV4164-23",
          "type": "CDM"
        },
        {
          "code": "A4425",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.47,
          "discounted_cash": 3.56,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.47,
              "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": 5.47,
              "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": 5.47,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.01
            },
            {
              "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": 5.47,
              "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": 95.5,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 3.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.22
            },
            {
              "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": 95.4,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.47,
              "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": 96,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.47,
              "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": 5.47,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.35
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.7,
              "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": 5.47
            },
            {
              "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": 3.01
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.47,
              "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": 5.47,
              "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": 96,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.47,
              "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": 95.4,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.47,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.7,
              "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": 95.4,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.47,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.47,
              "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": 5.47,
              "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": 4.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 4.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.47,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.47,
              "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": 5.47,
              "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": 5.47,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.47,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.7,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.22
            },
            {
              "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": 4.81
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.47,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.7
            }
          ]
        }
      ]
    },
    {
      "description": "Pads Bladder Control",
      "code_information": [
        {
          "code": "PX-CH-PB2083",
          "type": "CDM"
        },
        {
          "code": "A4520",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.56,
          "discounted_cash": 0.36,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.56,
              "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": 0.56,
              "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": 95,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "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": 0.31
            },
            {
              "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": 95.4,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.56,
              "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": 95,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 67.4,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "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": 95.4,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.56,
              "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": 0.56,
              "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": 0.56,
              "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": 96,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.56,
              "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": 0.56,
              "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": 0.56,
              "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": 0.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.31
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 97.8,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.48
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "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": 0.56,
              "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": 0.56,
              "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": 97.8,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.56,
              "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": 0.56,
              "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": 0.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "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": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 96,
              "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": 95,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.49
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 0.49,
          "discounted_cash": 0.32,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.47
            },
            {
              "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": 0.43
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "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": 95,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.49,
              "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": 0.49,
              "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": 95,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 0.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.49,
              "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": 95,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.49,
              "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": 96,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 97.8,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.47
            },
            {
              "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": 0.49,
              "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": 0.49,
              "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": 0.49,
              "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": 0.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.49,
              "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": 0.49,
              "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": 0.27
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "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": 0.49,
              "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": 67.4,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 97.8,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.49,
              "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": 0.49,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.49,
              "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": 97.8,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.17
            },
            {
              "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": 95.4,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.49,
              "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": 0.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 0.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 0.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.42
            }
          ]
        }
      ]
    },
    {
      "description": "Island Composite Drsg Adhesive Primapore 2 in X 3 In",
      "code_information": [
        {
          "code": "PX-CH-UN7133-00",
          "type": "CDM"
        },
        {
          "code": "A6254",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.5,
          "discounted_cash": 0.32,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.5,
              "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": 0.44
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.5,
              "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": 0.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 0.28
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.5,
              "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": 0.5,
              "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": 96,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.5,
              "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": 0.5,
              "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": 95,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.5,
              "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": 0.5,
              "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": 0.5,
              "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": 96,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "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": 96,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.5,
              "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": 0.5,
              "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": 0.5,
              "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": 95,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.28
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.5,
              "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": 0.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.5,
              "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": 95,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.48
            },
            {
              "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": 0.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.17
            },
            {
              "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": 95.4,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 0.48
            },
            {
              "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": 0.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.28
            }
          ]
        }
      ]
    },
    {
      "description": "HC Tpmt Nudt15 Gene Analysis Common Variants So",
      "code_information": [
        {
          "code": "PX-30101373",
          "type": "CDM"
        },
        {
          "code": "0034U",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1782,
          "discounted_cash": 1158.3,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1700.03
            },
            {
              "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": 95.4,
              "estimated_amount": 1700.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1700.03
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1692.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 605.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1700.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1719.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1719.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1710.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1710.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1692.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 466.17,
              "estimated_amount": 466.17
            },
            {
              "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": 1158.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1710.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1710.72
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1710.72
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 552.42
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1692.9
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1692.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1719.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1719.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1710.72
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 552.42
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 552.42
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 552.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1742.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 980.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1692.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1692.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 605.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1710.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1710.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1710.72
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1710.72
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1710.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 980.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 552.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1700.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1710.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1710.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1710.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1710.72
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1514.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1700.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1700.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1710.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 980.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 605.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1742.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1692.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1692.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1692.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1692.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1710.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1719.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1710.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1710.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1700.03
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 552.42
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1692.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1700.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1710.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1710.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1710.72
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 552.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 980.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1692.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1514.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 552.42,
              "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": 980.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 552.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 552.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1700.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1700.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1710.72
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 605.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1700.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1719.63
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1514.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1700.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1700.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1700.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 980.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1710.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1710.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1710.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1710.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1692.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 552.42
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1710.72
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1710.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1742.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 980.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1692.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1742.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1719.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1710.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1710.72
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 552.42,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1700.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1700.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1700.03
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 552.42,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 605.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1710.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1710.72
            }
          ],
          "minimum": 466.17,
          "maximum": 466.17
        }
      ]
    },
    {
      "description": "Catheter Silver Hydrogel 22 Fr 5 Cc",
      "code_information": [
        {
          "code": "PX-CH-BA0165SI22",
          "type": "CDM"
        },
        {
          "code": "A4338",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 17.85,
          "discounted_cash": 11.6,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16.96
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16.96
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.85,
              "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": 95,
              "estimated_amount": 16.96
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.85,
              "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": 17.85,
              "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": 96,
              "estimated_amount": 17.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.23
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.14
            },
            {
              "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": 17.85,
              "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": 9.82
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.17
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.17
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.82
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.85,
              "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": 96.5,
              "estimated_amount": 17.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.85,
              "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": 17.85,
              "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": 17.85,
              "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": 97.8,
              "estimated_amount": 17.46
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.07
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.53,
              "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": 9.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.85,
              "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": 95,
              "estimated_amount": 16.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.03
            },
            {
              "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": 95.4,
              "estimated_amount": 17.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.85,
              "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": 17.85,
              "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": 17.85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 16.96
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.17
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 17.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 17.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.85,
              "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": 17.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 17.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.53
            },
            {
              "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": 17.85,
              "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": 15.71
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.85,
              "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": 17.85,
              "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": 96,
              "estimated_amount": 17.14
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.82
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.03
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.05
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.03
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.14
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.53,
              "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": 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": 95,
              "estimated_amount": 16.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.07
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.82
            },
            {
              "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": 9.82
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16.96
            }
          ]
        }
      ]
    },
    {
      "description": "Abd Pad Sterile Dupad 5 in X 9 In",
      "code_information": [
        {
          "code": "PX-CH-DUM87059",
          "type": "CDM"
        },
        {
          "code": "A6252",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.2,
          "discounted_cash": 0.13,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.2,
              "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": 0.2,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.19
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.2,
              "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": 0.2,
              "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": 95,
              "estimated_amount": 0.19
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.06,
              "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": 96,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.2,
              "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": 97.8,
              "estimated_amount": 0.2
            },
            {
              "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 MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.06
            },
            {
              "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": 0.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.2,
              "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": 0.2,
              "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": 0.2,
              "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": 0.2,
              "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": 95,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 95.4,
              "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": 97.8,
              "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": 95,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.06,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.2
            },
            {
              "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": 0.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.11
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.17
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.2,
              "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": 95,
              "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": 0.17
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.06,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.2,
              "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": 0.2,
              "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": 0.2,
              "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": 96.5,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.2,
              "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": 0.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.2,
              "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": 96,
              "estimated_amount": 0.19
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.19
            },
            {
              "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": 0.2,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "Catheter External Latex Medium 29mm Standard Wear",
      "code_information": [
        {
          "code": "PX-CH-HO9607",
          "type": "CDM"
        },
        {
          "code": "A4349",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.91,
          "discounted_cash": 1.24,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 1.91,
              "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": 96,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 1.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.91,
              "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": 96,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.91
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 1.91,
              "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": 95.4,
              "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": 95.4,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.91,
              "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": 1.91,
              "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": 96,
              "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": 1.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.91,
              "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": 1.91,
              "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": 67.4,
              "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": 97.8,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "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": 95.5,
              "estimated_amount": 1.82
            },
            {
              "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": 1.91,
              "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": 1.91,
              "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": 1.91,
              "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": 95.5,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.87
            },
            {
              "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": 1.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.62
            },
            {
              "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": 95.4,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 1.91,
              "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": 1.68
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 1.91,
              "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": 1.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.91,
              "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": 95.5,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "Inserts Cvx 1 9/16 in Adapt Rings",
      "code_information": [
        {
          "code": "PX-CH-HO79540",
          "type": "CDM"
        },
        {
          "code": "A4411",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.74,
          "discounted_cash": 3.73,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 5.74,
              "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": 5.74,
              "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": 4.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.48
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.78
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.78,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.45
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.48
            },
            {
              "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": "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": "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": "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 HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.51
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.74,
              "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": 5.74,
              "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": 5.74,
              "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": 5.74,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.78,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5.74,
              "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": 5.74,
              "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": 5.74,
              "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": 5.74,
              "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": 96,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.78,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.61
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 3.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.45
            },
            {
              "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": 95.4,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.54
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.48
            },
            {
              "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 NAVIGATE [625280]",
              "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/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 GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.74,
              "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": 5.05
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.45
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 5.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.48
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.61
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "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": 95.4,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 4.88
            },
            {
              "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": 3.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.45
            }
          ]
        }
      ]
    },
    {
      "description": "HC Heart Valve 28",
      "code_information": [
        {
          "code": "PX-27800222",
          "type": "CDM"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 30945,
          "discounted_cash": 20114.25,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29521.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 29861.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 29273.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 29273.97
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9592.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29397.75
            },
            {
              "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": 20114.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 29552.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 29273.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 29273.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 29273.97
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 20856.93
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29707.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17019.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29397.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29707.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 30945
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29397.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9592.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29521.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29521.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 29861.93
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9592.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29707.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 29273.97
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29707.2
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29397.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26303.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26303.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29397.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29397.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10521.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29397.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29521.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29521.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29521.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 29861.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 29552.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 29273.97
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29397.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9592.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9592.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10521.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 29273.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 29273.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29521.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29521.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29521.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 29861.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 29552.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 30264.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17019.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29397.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29397.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9592.95
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29707.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17019.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29397.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26303.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29707.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29521.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 29552.48
            },
            {
              "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": 27231.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26303.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 29861.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 29273.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29521.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 29861.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 29552.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 29273.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17019.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17019.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29521.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29521.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 29552.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 29552.48
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26303.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 29861.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 29552.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 29273.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 29273.97
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29707.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29521.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 29273.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29521.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 29273.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 30264.21
            },
            {
              "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": 17019.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17019.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29397.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9592.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 30264.21
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 30264.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29521.53
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10521.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 29552.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 29273.97
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29397.75
            },
            {
              "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": 95.4,
              "estimated_amount": 29521.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 29552.48
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9592.95
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9592.95
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29397.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10521.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10521.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29521.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 29273.97
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9592.95
            }
          ]
        }
      ]
    },
    {
      "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": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1
            },
            {
              "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": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.97
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 1.02,
              "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 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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.56
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.35
            },
            {
              "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": 0.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.97
            },
            {
              "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 NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.35
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.97
            },
            {
              "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": "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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 1.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "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": 95.4,
              "estimated_amount": 0.97
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.97
            },
            {
              "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": "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": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.32
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.98
            },
            {
              "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": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 0.69
            },
            {
              "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": 0.9
            },
            {
              "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": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.97
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 1.02,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.35
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.97
            },
            {
              "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": 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": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 1.02,
              "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"
            }
          ]
        }
      ]
    },
    {
      "description": "Wrap Self-Adherent Wrap Coban 1 in X 5 Yds",
      "code_information": [
        {
          "code": "PX-CH-3M1581",
          "type": "CDM"
        },
        {
          "code": "A6453",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.89,
          "discounted_cash": 0.58,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.89,
              "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": 0.89,
              "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": 0.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.89,
              "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": 96,
              "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": 0.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "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": 96.5,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.89,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.89,
              "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": 0.89,
              "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": 0.89,
              "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": 0.89,
              "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": 0.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.89,
              "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": 95.4,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.89,
              "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": 0.89,
              "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": 96,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 0.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.89,
              "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": 95,
              "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": 95.4,
              "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": 67.4,
              "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": 95,
              "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": 0.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "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": 95,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 97.8,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.89,
              "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": 0.89,
              "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": 0.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.28
            },
            {
              "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": 0.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 96.5,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 0.76
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Pouch Uro Assura Red",
      "code_information": [
        {
          "code": "PX-CH-CO14228",
          "type": "CDM"
        },
        {
          "code": "A4433",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.62,
          "discounted_cash": 0.4,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "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": 0.62,
              "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": 96,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 97.8,
              "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": 95,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.62,
              "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": 0.62,
              "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": 0.62,
              "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": 95.5,
              "estimated_amount": 0.59
            },
            {
              "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": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.59
            },
            {
              "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": "HUMANA [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": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.59
            },
            {
              "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.59
            },
            {
              "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": "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": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.62,
              "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": 0.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.59
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.6
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.59
            },
            {
              "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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.34
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.59
            },
            {
              "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": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.59
            },
            {
              "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": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.6
            },
            {
              "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": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.61
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.6
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.59
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "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": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.61
            }
          ]
        }
      ]
    },
    {
      "description": "Stocking Knee-High Med / Reg Preffered",
      "code_information": [
        {
          "code": "PX-CH-5523640140",
          "type": "CDM"
        },
        {
          "code": "A6549",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 18.36,
          "discounted_cash": 11.93,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.36,
              "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": 18.36,
              "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": 95,
              "estimated_amount": 17.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 18.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.44
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.44
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.61
            },
            {
              "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": 11.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.53
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.63
            },
            {
              "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": 16.16
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.44
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.61
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.36,
              "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": 18.36,
              "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": 18.36,
              "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": 18.36,
              "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": 18.36,
              "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": 15.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.53
            },
            {
              "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": 18.36,
              "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": 18.36,
              "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": 18.36,
              "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": 18.36,
              "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": 18.36,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.69
            },
            {
              "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": 10.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 17.44
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 17.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 17.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.44
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.69
            },
            {
              "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": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.36,
              "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": 18.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 17.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.53
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.63
            },
            {
              "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": 18.36,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.44
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.36,
              "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": 18.36,
              "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": 18.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.63
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.44
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.61
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 18.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.44
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 17.44
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.53
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 17.96
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.44
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "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": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.36,
              "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": 18.36,
              "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": 18.36,
              "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": 18.36,
              "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": 96,
              "estimated_amount": 17.63
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.36,
              "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": 96,
              "estimated_amount": 17.63
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.44
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.44
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 17.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 17.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.44
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.61
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.36,
              "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": 18.36,
              "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": 10.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.44
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.53
            },
            {
              "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": 16.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.36,
              "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": 18.36,
              "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": 96,
              "estimated_amount": 17.63
            },
            {
              "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": 10.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.36,
              "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": 18.36,
              "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": 95,
              "estimated_amount": 17.44
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.44
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.61
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 17.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.44
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.44
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.36,
              "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": 18.36,
              "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": 18.36,
              "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": 18.36,
              "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": 96,
              "estimated_amount": 17.63
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.36,
              "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": 10.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.44
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.36,
              "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": 18.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 17.96
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 20.15,
          "discounted_cash": 13.1,
          "payers_information": [
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.15,
              "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": 20.15,
              "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": 97.8,
              "estimated_amount": 19.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.15,
              "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": 95,
              "estimated_amount": 19.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.08
            },
            {
              "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": 11.08
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.14
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.85
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 20.15,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.15,
              "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": 20.15,
              "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": 95,
              "estimated_amount": 19.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 19.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.13
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.13
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.25
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.25
            },
            {
              "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": 20.15,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.15,
              "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": 20.15,
              "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": 97.8,
              "estimated_amount": 19.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.14
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.14
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.25,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.25,
              "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": 95.4,
              "estimated_amount": 19.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19.34
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.14
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.15,
              "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": 17.13
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.22
            },
            {
              "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": 95.4,
              "estimated_amount": 19.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.15,
              "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": 95,
              "estimated_amount": 19.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19.44
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 20.15,
              "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": 17.73
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.25,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.25
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.13
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.22
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.14
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.15,
              "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": 20.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 19.71
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.15,
              "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": 20.15,
              "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": 96,
              "estimated_amount": 19.34
            }
          ]
        }
      ]
    },
    {
      "description": "Alginate Ag Algicell 4 1/4 in X 4 1/4 In",
      "code_information": [
        {
          "code": "PX-CH-DUM88544",
          "type": "CDM"
        },
        {
          "code": "A6197",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 10.23,
          "discounted_cash": 6.65,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.76
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.17
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 10.23,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.17,
              "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": 95,
              "estimated_amount": 9.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.87
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10
            },
            {
              "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": "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.72
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.17
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.77
            },
            {
              "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 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/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": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.77
            },
            {
              "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 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 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": "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": "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": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10
            },
            {
              "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 PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 10.23,
              "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": 95,
              "estimated_amount": 9.72
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.87
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.17
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.17
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.77
            },
            {
              "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 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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.72
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.17,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.48
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.87
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.17
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.23,
              "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": 8.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.77
            },
            {
              "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": "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": "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": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.72
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.72
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.17,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.77
            },
            {
              "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": "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.72
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.77
            },
            {
              "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": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.77
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 9.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.87
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.87
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.82
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.77
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 8.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.76
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.72
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.72
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.82
            }
          ]
        }
      ]
    },
    {
      "description": "HC Ide G150107 Amaze Lariat-Rs Suture Delivery Device",
      "code_information": [
        {
          "code": "PX-62400197",
          "type": "CDM"
        },
        {
          "code": "C1889",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 7950,
          "discounted_cash": 5167.5,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7584.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7592.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7592.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7950,
              "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": 7950,
              "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": 95,
              "estimated_amount": 7552.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7552.5
            },
            {
              "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": 5167.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7632
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7584.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7584.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7584.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7671.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7671.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7671.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7671.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7950,
              "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": 7950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2464.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7552.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7552.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7552.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7552.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7584.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7592.25
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2464.5
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 5358.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7632
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7632
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7584.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2464.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6757.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4372.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2464.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2464.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4372.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7552.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2703
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7592.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7592.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7552.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6757.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7584.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7584.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7950,
              "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": 7950,
              "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": 7950,
              "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": 96,
              "estimated_amount": 7632
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7950,
              "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": 4372.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2703
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 7950
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7775.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7584.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7592.25
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2464.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7552.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6757.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4372.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2703
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7552.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7584.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7584.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7950,
              "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": 95.4,
              "estimated_amount": 7584.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7584.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7671.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7950,
              "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": 7950,
              "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": 7950,
              "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": 97.8,
              "estimated_amount": 7775.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2464.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2464.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7775.1
            },
            {
              "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": 7950,
              "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": 7950,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7584.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7592.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2464.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4372.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6757.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7632
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7584.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7584.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7592.25
            },
            {
              "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": 4372.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7671.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7592.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7950,
              "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": 7950,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7552.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7584.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7950,
              "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": 7950,
              "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": 4372.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7552.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2464.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6757.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2464.5,
              "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": 6757.5
            },
            {
              "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": 95.4,
              "estimated_amount": 7584.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7671.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7592.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7950,
              "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": 7950,
              "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": 96,
              "estimated_amount": 7632
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 6996
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7552.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7775.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7552.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2464.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2703
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2464.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2703
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7632
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7950,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "\"2pc Ctf Sur-Fit Skin Barrier Up to 2-1/4\"\" Natura\"",
      "code_information": [
        {
          "code": "PX-CH-CV4131-68",
          "type": "CDM"
        },
        {
          "code": "A4409",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13.64,
          "discounted_cash": 8.87,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.64,
              "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": 12
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13.34
            },
            {
              "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": 13.64,
              "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": 7.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.64,
              "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": 96,
              "estimated_amount": 13.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.64,
              "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": 13.64,
              "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": 13.64,
              "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": 13.64,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.64,
              "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": 13.64,
              "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": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.09
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.09
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.64
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.09
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.64
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.64
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.64,
              "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": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.64,
              "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": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 13.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.64,
              "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": 13.64,
              "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": 13.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.64,
              "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": 13.64,
              "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": 96,
              "estimated_amount": 13.09
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "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": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 13.64,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.64,
              "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": 11.59
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.23,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "Tranquility Everyday Underwear Small 22 in - 63 In",
      "code_information": [
        {
          "code": "PX-CH-IMCPU2604",
          "type": "CDM"
        },
        {
          "code": "A4520",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.78,
          "discounted_cash": 0.51,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.78,
              "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": 0.78,
              "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": 0.78,
              "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": 0.78,
              "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": 67.4,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "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": 95.5,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.78,
              "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": 0.78,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.69
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 97.8,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.5,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.78,
              "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": 0.78,
              "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": 0.78,
              "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": 0.78,
              "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": 96,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.66
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.78,
              "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": 96,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "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": 0.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "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": 0.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 0.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 0.43
            },
            {
              "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": 0.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.78,
              "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": 0.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 0.66
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "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": 0.78,
              "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": 0.78,
              "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": 0.78,
              "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": 95,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 0.43
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.78,
              "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": 0.78,
              "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": 0.78,
              "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": 0.66
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "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": 95.5,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.78,
              "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": 0.78,
              "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": 0.78,
              "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": 0.78,
              "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": 0.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "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": 0.78,
              "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": 0.78,
              "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": 0.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.43
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 97.8,
              "estimated_amount": 0.76
            },
            {
              "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": 0.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.78,
              "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": 0.78,
              "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": 0.78,
              "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": 0.51
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.78,
              "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": 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": 95,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 0.66
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.78,
              "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": 0.78,
              "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": 96,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.75
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 36.39,
          "discounted_cash": 23.65,
          "payers_information": [
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.39,
              "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": 36.39,
              "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": 32.02
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 35.12
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 24.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.57
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.93
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.39,
              "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": 95.4,
              "estimated_amount": 34.72
            },
            {
              "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": 95.4,
              "estimated_amount": 34.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 35.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 34.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 35.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.57
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.37
            },
            {
              "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": 23.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.39,
              "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": 36.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.28
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.37
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.93
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 34.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 35.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.39,
              "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": 36.39,
              "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": 95.4,
              "estimated_amount": 34.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 35.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.39,
              "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": 20.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.57
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.01
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.75
            },
            {
              "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": 36.39,
              "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": 96,
              "estimated_amount": 34.93
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.57
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.93
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.28
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.39,
              "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": 95,
              "estimated_amount": 34.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.39,
              "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": 96,
              "estimated_amount": 34.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 35.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.01
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.28
            },
            {
              "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": 20.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.57
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 34.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.28
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.28
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 36.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 35.59
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 34.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 35.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.57
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.39,
              "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": 36.39,
              "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": 96,
              "estimated_amount": 34.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 35.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.57
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 35.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.39,
              "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": 20.01
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 35.12
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.57
            }
          ]
        }
      ]
    },
    {
      "description": "\"Intermittent Catheter 10 Fr 16\"\" L Red Rubber\"",
      "code_information": [
        {
          "code": "PX-CH-BA802410",
          "type": "CDM"
        },
        {
          "code": "A4351",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.83,
          "discounted_cash": 0.54,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.79
            },
            {
              "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": "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.26,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.26
            },
            {
              "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": 0.83,
              "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": 95.4,
              "estimated_amount": 0.79
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 0.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.79
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.83,
              "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": 0.83
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.26,
              "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": 97.8,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.79
            },
            {
              "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": "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.8
            },
            {
              "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": 0.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 0.79
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.79
            },
            {
              "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": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.79
            },
            {
              "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": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.79
            },
            {
              "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": "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 0.46
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.8
            },
            {
              "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 97.8,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.79
            },
            {
              "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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.71
            },
            {
              "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": 95.4,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.79
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.8
            },
            {
              "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 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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.26,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.83,
              "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": 0.83,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 0.79
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.79
            }
          ]
        }
      ]
    },
    {
      "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": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.6
            },
            {
              "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": "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/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/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 MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48
            },
            {
              "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": 4.2
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.55
            },
            {
              "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": 95.4,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.56
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 4.53
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.58
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.55
            },
            {
              "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": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.53
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.62
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48,
              "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": 95,
              "estimated_amount": 4.53
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.56
            },
            {
              "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": "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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 4.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.53
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48,
              "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": 2.62
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.53
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.6
            },
            {
              "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.56
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.67
            },
            {
              "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 (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 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 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": "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "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": 95.5,
              "estimated_amount": 4.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.56
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.56
            },
            {
              "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": "BUCKEYE COMMUNITY 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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.56
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.67
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.53
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.53
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.55
            },
            {
              "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": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.56
            },
            {
              "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 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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.53
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.53
            }
          ]
        }
      ]
    },
    {
      "description": "Underpad 30 in X 36 in Premium, Kendall Wings",
      "code_information": [
        {
          "code": "PX-CHKN3036PS",
          "type": "CDM"
        },
        {
          "code": "A4554",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.15,
          "discounted_cash": 0.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.15,
              "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": 1.15,
              "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": 1.15,
              "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": 67.4,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.63
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "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": 96.5,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 0.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "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": 1.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.15,
              "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": 0.63
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 97.8,
              "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": 0.63
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 1.15,
              "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": 1.15,
              "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": 96,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 1.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 1.15,
              "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": 1.15,
              "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": 1.15,
              "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": 1.15,
              "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": 95,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.15,
              "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": 1.15,
              "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": 1.01
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.98
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.15,
              "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": 1.15,
              "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": 0.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.15,
              "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": 1.15,
              "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": 1.15,
              "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": 1.15,
              "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": 96,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.15,
              "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": 1.15,
              "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": 1.15,
              "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": 95,
              "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": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.15
            },
            {
              "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 HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 0.98
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.1
            },
            {
              "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": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "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": 0.98
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 1.1
            },
            {
              "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": 1.15,
              "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": 1.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 95,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.15,
              "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": 1.15,
              "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": 0.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.98
            },
            {
              "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": 0.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.15,
              "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": 1.15,
              "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": 1.15,
              "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": 1.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.1
            },
            {
              "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": 1.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.15,
              "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": 1.15,
              "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": 97.8,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.63
            },
            {
              "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": 0.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.12
            }
          ]
        }
      ]
    },
    {
      "description": "Ted Stocking Knee-Length Xxxl Regular",
      "code_information": [
        {
          "code": "PX-CHKN7472LF",
          "type": "CDM"
        },
        {
          "code": "A6549",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 11.53,
          "discounted_cash": 7.49,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.53,
              "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": 11.53,
              "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": 95,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.53,
              "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": 11.53,
              "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": 11.53,
              "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": 6.34
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 11.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.53,
              "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": 11.53,
              "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": 96,
              "estimated_amount": 11.07
            },
            {
              "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": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.53,
              "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": 11.53,
              "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": 11.53,
              "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": 96,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.28
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.95
            },
            {
              "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": 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": 95,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.01
            },
            {
              "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": 10.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.53,
              "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": 11.53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.28
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.28
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 11.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.92
            },
            {
              "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": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.53,
              "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": 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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 11.53,
              "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": 9.8
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.53,
              "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": 11.53,
              "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": 95,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 11.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 11.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.53,
              "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": 11.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 11.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.53,
              "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": 11.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.01
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 6.34
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.53,
              "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": 11.53,
              "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": 11.53,
              "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": 11.53,
              "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": 11.53,
              "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": 10.15
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.5,
              "estimated_amount": 11.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.53,
              "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": 11.53,
              "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": 11.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 11.53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.28
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.53,
              "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": 11.53,
              "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": 11.53,
              "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": 11.53,
              "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": 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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.57
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.8
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.07
            }
          ]
        }
      ]
    },
    {
      "description": "Yankauer Medi-Vac Suction Handle With Open Tip",
      "code_information": [
        {
          "code": "PX-CHCO12049",
          "type": "CDM"
        },
        {
          "code": "A4385",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.45,
          "discounted_cash": 3.54,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "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": "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5.45,
              "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": 95,
              "estimated_amount": 5.18
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.26
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.69,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.23
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "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": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.69
            },
            {
              "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": 5.45,
              "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": 3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.2
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.85
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.85
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.69,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.26
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.2
            },
            {
              "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 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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.85
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.33
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.18
            },
            {
              "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": 5.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.2
            },
            {
              "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": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "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": 5.45,
              "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": 5.45,
              "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": 5.45,
              "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": 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": "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "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": 96,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "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/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": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.33
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.18
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.69,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.33
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 4.74,
          "discounted_cash": 3.08,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.74,
              "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": 4.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.53
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.74,
              "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": 4.74,
              "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": 4.74,
              "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": 67.4,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.74,
              "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": 96,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.53
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.64
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.74,
              "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": 95.4,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.74,
              "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": 96,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 95,
              "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": 95,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.74,
              "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": 4.74,
              "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": 4.74,
              "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": 4.74,
              "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": 4.17
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.74,
              "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": 4.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.74,
              "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": 95.5,
              "estimated_amount": 4.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.74,
              "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": 2.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 96.5,
              "estimated_amount": 4.57
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.61
            },
            {
              "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": 3.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.74,
              "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": 2.61
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.55
            }
          ]
        }
      ]
    },
    {
      "description": "Syringe Irrigation Enfit Vesco 60 Ml W/ Transistion Connector",
      "code_information": [
        {
          "code": "PX-CHCV183901",
          "type": "CDM"
        },
        {
          "code": "A4406",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13.23,
          "discounted_cash": 8.6,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 13.23,
              "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": 13.23,
              "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": 13.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.57
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.23,
              "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": 13.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.28
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.28
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.57
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.57
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.5
            },
            {
              "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": 13.23,
              "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": 95.4,
              "estimated_amount": 12.62
            },
            {
              "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": 11.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.77
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.5
            },
            {
              "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": 7.28
            },
            {
              "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": 95.4,
              "estimated_amount": 12.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.23,
              "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": 13.23,
              "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": 13.23,
              "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": 95,
              "estimated_amount": 12.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.57
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.23,
              "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": 13.23,
              "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": 11.25
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.23,
              "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": 95,
              "estimated_amount": 12.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.57
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.28
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.63
            },
            {
              "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": 13.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.1,
              "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": 95,
              "estimated_amount": 12.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 12.94
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.62
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 12.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.63
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 13.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 12.94
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 12.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.1
            },
            {
              "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": 13.23,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.23,
              "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": 13.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.7
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 13.23,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.57
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.57
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.7
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 1.73,
          "discounted_cash": 1.12,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.73,
              "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": 1.73,
              "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": 1.73,
              "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": 1.73,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 1.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 1.47
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.73,
              "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": 1.73,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.69
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.66
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.95
            },
            {
              "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": 1.12
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.73,
              "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": 1.73,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.73,
              "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": 1.73,
              "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": 96,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.69
            },
            {
              "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": 0.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "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": 97.8,
              "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": 0.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.66
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 1.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.73,
              "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": 1.73,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.73,
              "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": 1.73,
              "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": 96,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.69
            },
            {
              "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": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.73,
              "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": 1.73,
              "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": 1.73,
              "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": 1.47
            },
            {
              "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": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.64
            },
            {
              "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": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "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": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.73,
              "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": 1.73,
              "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": 1.73,
              "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": 1.73,
              "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": 96,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.73,
              "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": 1.73,
              "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": 1.73,
              "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": 95,
              "estimated_amount": 1.64
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 1.52
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 1.47
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.73,
              "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": 1.73,
              "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": 1.73,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "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": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.73,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 1.47
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.59
            },
            {
              "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": 1.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.73,
              "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": 1.73,
              "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": 67.4,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.65
            },
            {
              "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": 1.73,
              "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": 1.73,
              "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": 1.73,
              "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": 1.52
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.73,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.59
            }
          ]
        }
      ]
    },
    {
      "description": "Hand Sanitizer Purell 8 Oz Pump Bottle",
      "code_information": [
        {
          "code": "PX-CHNH487264RDC",
          "type": "CDM"
        },
        {
          "code": "A4390",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 248.12,
          "discounted_cash": 161.28,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 236.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 248.12,
              "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": 248.12,
              "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": 96,
              "estimated_amount": 238.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 238.2
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 235.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 235.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 235.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 236.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 238.2
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 238.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 84.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 136.47
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 76.92
            },
            {
              "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": 95.4,
              "estimated_amount": 236.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 236.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 239.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 236.95
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 242.66
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 76.92
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 84.36
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "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": 95.5,
              "estimated_amount": 236.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 236.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 236.95
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 76.92
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 167.23
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 76.92
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 235.71
            },
            {
              "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": 136.47
            },
            {
              "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": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 235.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 236.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 235.71
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 84.36
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 76.92
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 84.36
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 235.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 236.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 239.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 239.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 236.95
            },
            {
              "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": "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 76.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 235.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 236.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 236.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 236.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 236.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 236.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 239.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 236.95
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 235.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 236.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 236.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 236.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 236.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 236.71
            },
            {
              "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": 218.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 242.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 242.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 242.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 235.71
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 238.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 235.71
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 235.71
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 210.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 238.2
            },
            {
              "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": 161.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 236.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 248.12,
              "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": 136.47
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 84.36
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 76.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 236.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 239.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 239.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 236.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 239.44
            },
            {
              "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": "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 235.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 236.71
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 136.47
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 76.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 236.71
            },
            {
              "payer_name": "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": "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 238.2
            },
            {
              "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": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "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 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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 76.92
            },
            {
              "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": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 236.71
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 235.71
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 76.92
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 8.72,
          "discounted_cash": 5.67,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.33
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "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": 4.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.33
            },
            {
              "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": "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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 7.67
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.37
            },
            {
              "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": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "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": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.37
            },
            {
              "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": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.33
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 4.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 4.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "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": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "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": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.33
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.33
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.96
            },
            {
              "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": 4.8
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.33
            },
            {
              "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 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": "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 8.72
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.33
            },
            {
              "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": "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": "BUCKEYE COMMUNITY 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": "BUCKEYE COMMUNITY 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": "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": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.33
            },
            {
              "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 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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 4.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.41
            },
            {
              "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/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": "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.33
            },
            {
              "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": 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 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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.33
            },
            {
              "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 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": "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 OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.96
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "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": 7.67
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.96
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "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 OXFORD [625260]",
              "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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "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": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.41
            },
            {
              "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": "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": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.33
            },
            {
              "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 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 CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "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": 4.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.37
            }
          ]
        }
      ]
    },
    {
      "description": "Tape Cloth Surgical 2 Inx10 Yd Reliamed",
      "code_information": [
        {
          "code": "PX-CHSW1944",
          "type": "CDM"
        },
        {
          "code": "A4370",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 11.02,
          "discounted_cash": 7.16,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.63
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.52
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.37
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 10.42
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 10.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 10.42
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.58
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 10.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 10.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 10.42
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 10.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 10.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 10.42
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 10.42
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 96,
              "estimated_amount": 10.58
            },
            {
              "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": 9.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 10.42
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.37
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 10.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 10.42
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.52
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 10.42
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.75
            },
            {
              "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": 6.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 10.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 10.42
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.58
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.58
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.58
            },
            {
              "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": 95.4,
              "estimated_amount": 10.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 10.42
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 11.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.37
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.42
            },
            {
              "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": 7.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.52
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.42
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 4.28,
          "discounted_cash": 2.78,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 4.28,
              "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": 4.28,
              "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": 96,
              "estimated_amount": 4.11
            },
            {
              "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": 3.77
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.28,
              "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": 96,
              "estimated_amount": 4.11
            },
            {
              "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": 4.28,
              "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": 97.8,
              "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": 97.8,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.11
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.09
            },
            {
              "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": 4.28,
              "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": 4.28,
              "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": 4.28,
              "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": 4.28,
              "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": 96,
              "estimated_amount": 4.11
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.28,
              "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": 2.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.35
            },
            {
              "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": 2.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.28,
              "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": 4.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 2.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 4.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.28,
              "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": 4.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.28,
              "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": 4.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 4.28,
              "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": 96,
              "estimated_amount": 4.11
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.28,
              "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": 4.28,
              "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": 4.28,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 4.28,
              "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": 3.77
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 3.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "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": 4.28,
              "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": 4.28,
              "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": 95,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.28
            },
            {
              "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": 2.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.28,
              "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": 4.28,
              "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": 96,
              "estimated_amount": 4.11
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.28,
              "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": 95,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.28,
              "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": 4.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 2.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 4.28,
              "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": 4.28,
              "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": 4.28,
              "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": 96,
              "estimated_amount": 4.11
            },
            {
              "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": 95.4,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.28,
              "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": 4.28,
              "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": 4.28,
              "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": 4.28,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 3.64
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 4.28,
              "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": 3.64
            },
            {
              "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": 95.4,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.28,
              "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": 4.28,
              "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": 4.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.33
            },
            {
              "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": 4.28,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.07
            }
          ]
        }
      ]
    },
    {
      "description": "Drainage Bag 2000ml Bedside Anti-Reflux Sample Port Lf",
      "code_information": [
        {
          "code": "PX-CHHO9839",
          "type": "CDM"
        },
        {
          "code": "A4357",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.85,
          "discounted_cash": 3.15,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.85,
              "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": 4.85,
              "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": 97.8,
              "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": 97.8,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.66
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.61
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.85,
              "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": 96,
              "estimated_amount": 4.66
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.66
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.85,
              "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": 95.5,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.5
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.5
            },
            {
              "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": 4.85,
              "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": 4.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.66
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.5
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.63
            },
            {
              "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": 4.85,
              "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": 4.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 4.12
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.66
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.85,
              "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": 4.85,
              "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": 4.85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.85,
              "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": 95,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.85,
              "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": 4.27
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.61
            },
            {
              "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": 95.4,
              "estimated_amount": 4.63
            },
            {
              "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": 2.67
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.85,
              "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": 4.85,
              "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": 4.85,
              "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": 95,
              "estimated_amount": 4.61
            },
            {
              "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": "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": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 2.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.85,
              "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": 4.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.5
            },
            {
              "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": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.5,
              "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": 4.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Blastomyces Antibody So",
      "code_information": [
        {
          "code": "PX-30200667",
          "type": "CDM"
        },
        {
          "code": "86612",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 152,
          "discounted_cash": 98.8,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 145.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 145.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 145.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "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": 83.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 145.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 148.66
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.12
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "estimated_amount": 145.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 146.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 145.16
            },
            {
              "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 MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.12
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 129.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 145.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 146.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 129.2
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.12,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "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": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 145.01
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 145.92
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 152,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 144.4
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 83.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 144.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.12
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.12,
              "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": 98.8
            },
            {
              "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": 152,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 146.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "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": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 102.45
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 144.4
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 144.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 145.01
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 145.92
            },
            {
              "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": 133.76
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 51.68
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 51.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 145.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 145.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 146.68
            },
            {
              "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 TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 145.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 145.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 146.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 145.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 145.16
            },
            {
              "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 OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "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": 152,
              "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": 95.5,
              "estimated_amount": 145.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 145.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 144.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 51.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 144.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 145.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 148.66
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 51.68
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 145.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 145.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 145.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 145.01
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 145.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 144.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 144.4
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 145.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 146.68
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.12
            },
            {
              "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": 95.4,
              "estimated_amount": 145.01
            },
            {
              "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": 152,
              "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": 83.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 145.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 145.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 145.01
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.12,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 144.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 144.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 144.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 144.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.12
            },
            {
              "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": 152,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 148.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 148.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 145.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 145.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 145.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 145.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 145.16
            },
            {
              "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 NAVIGATE [625280]",
              "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": 152
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 51.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 146.68
            },
            {
              "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 UMR CHOICE PLUS [625250]",
              "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.12
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 144.4
            },
            {
              "payer_name": "UHC 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"
            }
          ],
          "minimum": 48.38,
          "maximum": 48.38
        }
      ]
    },
    {
      "description": "HC Psa Total So",
      "code_information": [
        {
          "code": "PX-30000105",
          "type": "CDM"
        },
        {
          "code": "84153",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 58,
          "discounted_cash": 37.7,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.98
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 39.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 31.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 19.72
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 49.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 49.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 55.97
            },
            {
              "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": 58,
              "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": 95,
              "estimated_amount": 55.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.98
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.98
            },
            {
              "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": 58,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 19.72
            },
            {
              "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": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 55.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 55.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 56.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 56.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 31.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.98
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 19.72
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 19.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 55.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 49.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 55.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 58,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.98,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.98
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 49.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 55.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 55.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 56.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 55.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 31.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 31.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 55.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 55.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 55.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 56.72
            },
            {
              "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": 31.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "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": 51.04
            },
            {
              "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": 58,
              "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": 31.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 55.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 55.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.98
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 19.72
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 55.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 55.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 49.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 49.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.98,
              "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": 37.7
            },
            {
              "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": 58,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.98
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.98,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 55.97
            },
            {
              "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": 58,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 55.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 31.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 55.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 55.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 55.1
            }
          ]
        }
      ]
    },
    {
      "description": "HC D Dimer So",
      "code_information": [
        {
          "code": "PX-30000128",
          "type": "CDM"
        },
        {
          "code": "85379",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 534,
          "discounted_cash": 347.1,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 509.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 509.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 512.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 512.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 512.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 512.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 512.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 507.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 507.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 507.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 165.54
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 512.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 515.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 165.54
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 507.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 165.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 534
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 293.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 293.7
            },
            {
              "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": 534,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 512.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 512.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 512.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 512.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 512.64
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 165.54,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 512.64
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 165.54
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 453.9
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 507.3
            },
            {
              "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": 534,
              "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": 95,
              "estimated_amount": 507.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 509.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 509.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 509.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 509.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 512.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 512.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 512.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 293.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 507.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 165.54,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 512.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 509.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 512.64
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 359.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 509.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 509.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 512.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 512.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 293.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 293.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 507.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 181.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 509.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 509.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 512.64
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 165.54
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 181.56
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 165.54,
              "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": 96,
              "estimated_amount": 512.64
            },
            {
              "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": 534,
              "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": 96,
              "estimated_amount": 512.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 512.64
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 507.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 509.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 515.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 515.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 512.64
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 165.54
            },
            {
              "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": 469.92
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 512.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 507.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 507.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 181.56
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 181.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 509.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 522.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 522.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 453.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 165.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 509.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 509.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 512.64
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 534,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 453.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 509.44
            },
            {
              "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": 534,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 165.54
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 181.56
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 453.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 453.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 509.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 515.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 515.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 512.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 512.64
            },
            {
              "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": 534,
              "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": 95,
              "estimated_amount": 507.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 522.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 453.9
            },
            {
              "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": 347.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 293.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 507.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 507.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 165.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 515.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 512.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 512.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 512.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 515.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 165.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 522.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 293.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 509.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 512.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 512.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 512.64
            }
          ]
        }
      ]
    },
    {
      "description": "HC Thrombin Time Plasma So",
      "code_information": [
        {
          "code": "PX-30000133",
          "type": "CDM"
        },
        {
          "code": "85670",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 303,
          "discounted_cash": 196.95,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 289.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 289.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.64,
              "estimated_amount": 21.64
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.93
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 303,
              "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": 303,
              "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": 166.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 287.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 257.55
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.93,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.64,
              "estimated_amount": 21.64
            },
            {
              "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": 166.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 166.65
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 103.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 296.33
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 290.88
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 290.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 289.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 292.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 289.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.64,
              "estimated_amount": 21.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.64,
              "estimated_amount": 21.64
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.93
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 290.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 289.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 289.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.64,
              "estimated_amount": 21.64
            },
            {
              "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": 303,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 296.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 287.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 103.02
            },
            {
              "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": 303,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 257.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 289.37
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 287.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 287.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 296.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 166.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 289.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 289.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 289.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 292.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.64,
              "estimated_amount": 21.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.64,
              "estimated_amount": 21.64
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 290.88
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 287.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 289.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 292.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 289.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 289.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 296.33
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 287.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 289.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 289.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.64,
              "estimated_amount": 21.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 290.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 287.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 103.02
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 289.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 289.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 289.06
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 257.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 289.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 292.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.64,
              "estimated_amount": 21.64
            },
            {
              "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": 266.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 287.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 257.55
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.93,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 166.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 289.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 289.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.64,
              "estimated_amount": 21.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.64,
              "estimated_amount": 21.64
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 204.22
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.93,
              "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": 303
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 166.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 103.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 289.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 290.88
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 287.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 292.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 289.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 289.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.64,
              "estimated_amount": 21.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.64,
              "estimated_amount": 21.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 287.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.93
            },
            {
              "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": 196.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 287.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 287.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 257.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 289.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 289.06
            },
            {
              "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": 95.4,
              "estimated_amount": 289.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 292.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.64,
              "estimated_amount": 21.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.64,
              "estimated_amount": 21.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.64,
              "estimated_amount": 21.64
            },
            {
              "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": 303,
              "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": 303,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.64,
              "estimated_amount": 21.64
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 289.06
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.93
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 257.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 166.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 287.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 292.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 287.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.93
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.93
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 103.02
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 290.88
            }
          ],
          "minimum": 21.64,
          "maximum": 21.64
        }
      ]
    },
    {
      "description": "1pc Pre-Cut Cvx Light Pouch Sensura",
      "code_information": [
        {
          "code": "PX-CHCO16741",
          "type": "CDM"
        },
        {
          "code": "A4389",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8.53,
          "discounted_cash": 5.54,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.14
            },
            {
              "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": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.64,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.64
            },
            {
              "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": 7.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 4.69
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.14
            },
            {
              "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": "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.1
            },
            {
              "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 PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.14
            },
            {
              "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": 95.4,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.15
            },
            {
              "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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.64
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.9
            },
            {
              "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": 8.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.15
            },
            {
              "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": "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": "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": 95.4,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.15
            },
            {
              "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": "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 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 OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.53,
              "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": 96,
              "estimated_amount": 8.19
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 4.69
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.64,
              "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": 97.8,
              "estimated_amount": 8.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.15
            },
            {
              "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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.1
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.23
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.15
            },
            {
              "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": 8.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.34
            },
            {
              "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": 4.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.1
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "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": 95.4,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.14
            },
            {
              "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": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.64,
              "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": 7.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.34
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.15
            },
            {
              "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": "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.69
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.14
            },
            {
              "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": "BUCKEYE COMMUNITY 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": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8.53,
              "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": 4.69
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.15
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.1
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Ctf Ext Wear Cvx 3/4 in - 1 3/4 in Assura Blue",
      "code_information": [
        {
          "code": "PX-CHSW14283",
          "type": "CDM"
        },
        {
          "code": "A4407",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.51,
          "discounted_cash": 0.98,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.46
            },
            {
              "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": "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": "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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 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": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.48
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.47,
              "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": 96,
              "estimated_amount": 1.45
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.47,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.45
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.47
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95.4,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 1.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.44
            },
            {
              "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "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": 1.51,
              "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": 1.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.51,
              "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": 95,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 1.51,
              "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": 1.51,
              "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": 1.51,
              "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": 96,
              "estimated_amount": 1.45
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.43
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.47
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.45
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 1.51,
              "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": 1.51,
              "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": 1.51,
              "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": 95.4,
              "estimated_amount": 1.44
            },
            {
              "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": 1.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.51,
              "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": 1.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.45
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.51,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.47,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.47
            },
            {
              "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": 95.4,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.44
            },
            {
              "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": 1.51,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "Tray General Purpose",
      "code_information": [
        {
          "code": "PX-CHAC56604",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.8,
          "discounted_cash": 3.77,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 5.8,
              "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": 97.8,
              "estimated_amount": 5.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.93
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.8,
              "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": 5.8,
              "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": 5.8,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.93
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.8,
              "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": 5.8,
              "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": 96,
              "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": 97.8,
              "estimated_amount": 5.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 5.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 5.8,
              "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": 96,
              "estimated_amount": 5.57
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5.8
            },
            {
              "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": 3.19
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.8,
              "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": 5.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.8,
              "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": 5.8,
              "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": 95.4,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.54
            },
            {
              "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": 5.8,
              "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": 3.19
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.8,
              "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": 5.1
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.93
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.5,
              "estimated_amount": 5.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.8,
              "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": 5.8,
              "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": 96,
              "estimated_amount": 5.57
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 5.53
            },
            {
              "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": 95.4,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 5.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.8,
              "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": 3.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.54
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.97
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.51
            }
          ]
        }
      ]
    },
    {
      "description": "1pc Pre-Cut Cvx Urostomy Sensura",
      "code_information": [
        {
          "code": "PX-CHCO16823",
          "type": "CDM"
        },
        {
          "code": "A4392",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 11.21,
          "discounted_cash": 7.29,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.71
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.69
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.76
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.81
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.71
            },
            {
              "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/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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 9.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.69
            },
            {
              "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/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": "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": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.65
            },
            {
              "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": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.82
            },
            {
              "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 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": "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": "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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.71
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.71
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.65
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.81
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.82
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.17
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.65
            },
            {
              "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": 7.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.71
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.65
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.65
            },
            {
              "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": 95.4,
              "estimated_amount": 10.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10.96
            },
            {
              "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 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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10.96
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.69
            },
            {
              "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": "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": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.71
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.81
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.82
            },
            {
              "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": 9.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10.96
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.48
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.82
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.76
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 7.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.76
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.82
            },
            {
              "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 MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 11.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.65
            }
          ]
        }
      ]
    },
    {
      "description": "HC Nerve Conduction Studies 1-2",
      "code_information": [
        {
          "code": "PX-92200023",
          "type": "CDM"
        },
        {
          "code": "95907",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 934,
          "discounted_cash": 607.1,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 891.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 934,
              "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": 513.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 289.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 891.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 901.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 901.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 891.97
            },
            {
              "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": 934,
              "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": 95,
              "estimated_amount": 887.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 793.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 317.56
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 289.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 891.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 934,
              "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": 95,
              "estimated_amount": 887.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 891.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 934,
              "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": 934,
              "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": 513.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 513.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 887.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 891.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 891.97
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 896.64
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 896.64
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 793.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 513.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 317.56
            },
            {
              "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": 607.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 896.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 896.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 891.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 891.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 901.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 901.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 891.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 934,
              "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": 934,
              "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": 97.8,
              "estimated_amount": 913.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 513.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 887.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 887.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 913.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 513.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 887.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 317.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 934,
              "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": 96,
              "estimated_amount": 896.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 913.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 289.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 793.9
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 896.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 891.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 891.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 901.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 891.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 934,
              "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": 95.4,
              "estimated_amount": 891.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 934,
              "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": 934,
              "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": 934,
              "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": 67.4,
              "estimated_amount": 629.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 887.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 793.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 289.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 891.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 891.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 891.97
            },
            {
              "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": 821.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 913.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 887.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 891.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 934,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 289.54
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 289.54
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 289.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 891.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 891.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 891.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 891.97
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 887.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 289.54
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 317.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 891.04
            },
            {
              "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": 95.4,
              "estimated_amount": 891.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 901.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 934,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 289.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 887.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 934
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 887.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 289.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 891.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 934,
              "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": 95,
              "estimated_amount": 887.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 891.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 934,
              "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": 95,
              "estimated_amount": 887.3
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 793.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 887.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 901.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 891.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 891.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 934,
              "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": 513.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 317.56
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 896.64
            }
          ]
        }
      ]
    },
    {
      "description": "HC Nerve Conduction Studies 9-10",
      "code_information": [
        {
          "code": "PX-92200027",
          "type": "CDM"
        },
        {
          "code": "95911",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4270,
          "discounted_cash": 2775.5,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4073.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4120.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4270,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4099.2
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3629.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4056.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4270,
              "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": 4270,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1323.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2348.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1323.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4176.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1323.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1323.7,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4073.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4073.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4270,
              "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": 95,
              "estimated_amount": 4056.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4073.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4120.55
            },
            {
              "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": 4270,
              "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": 97.8,
              "estimated_amount": 4176.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2348.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4056.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4056.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3629.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2348.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4056.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4056.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3629.5
            },
            {
              "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": 2775.5
            },
            {
              "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": 95.4,
              "estimated_amount": 4073.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4073.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4073.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4120.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4077.85
            },
            {
              "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": 4270,
              "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": 4270,
              "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": 4270,
              "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": 2348.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4056.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4056.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4099.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4099.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4073.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4073.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4270,
              "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": 4270,
              "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": 4270,
              "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": 96,
              "estimated_amount": 4099.2
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4270,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4073.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4077.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4077.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4099.2
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1323.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4056.5
            },
            {
              "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": 2348.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1451.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3629.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1451.8
            },
            {
              "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": 4270,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4073.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4270,
              "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": 2348.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4073.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4120.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4120.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4270,
              "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": 95,
              "estimated_amount": 4056.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4073.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4077.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4270
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2348.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1323.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4099.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4176.06
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1323.7,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4073.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4077.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4270,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1323.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4099.2
            },
            {
              "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": 3757.6
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4056.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1451.8
            },
            {
              "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": 4270,
              "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": 95,
              "estimated_amount": 4056.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4176.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4120.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4270,
              "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": 4270,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1323.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1451.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4073.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4073.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4077.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 2877.98
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1323.7,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3629.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1323.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4056.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4073.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4120.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4073.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4077.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4077.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4077.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4077.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4270,
              "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": 95,
              "estimated_amount": 4056.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3629.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1451.8
            },
            {
              "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": 4270,
              "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": 4270,
              "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": 4270,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1323.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1323.7
            }
          ]
        }
      ]
    },
    {
      "description": "HC Catheter Reboa",
      "code_information": [
        {
          "code": "PX-27200477",
          "type": "CDM"
        },
        {
          "code": "C2628",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5897,
          "discounted_cash": 3833.05,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5625.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5625.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5631.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5897,
              "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": 5897
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3243.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5602.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5625.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5631.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5767.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5602.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5012.45
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1828.07,
              "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": 5012.45
            },
            {
              "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": 5897,
              "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": 5897,
              "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": 95.4,
              "estimated_amount": 5625.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5690.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5897,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1828.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5631.64
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5012.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3243.35
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5661.12
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5897,
              "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": 95,
              "estimated_amount": 5602.15
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1828.07,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5625.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5690.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5897,
              "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": 5897,
              "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": 5897,
              "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": 5897,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5625.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5631.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5897,
              "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": 5897,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1828.07
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5661.12
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1828.07
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5661.12
            },
            {
              "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": 5189.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3243.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5602.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2004.98
            },
            {
              "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": 3243.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1828.07
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2004.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5625.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5897,
              "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": 5897,
              "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": 5897,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1828.07,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5012.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5767.27
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1828.07
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5012.45
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1828.07
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5602.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5625.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5690.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5631.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5897,
              "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": 95,
              "estimated_amount": 5602.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5602.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2004.98
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5661.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5602.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1828.07
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5661.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5625.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5690.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5631.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5897,
              "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": 67.4,
              "estimated_amount": 3974.58
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1828.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3243.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5012.45
            },
            {
              "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": 95.4,
              "estimated_amount": 5625.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5625.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5625.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5897,
              "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": 95,
              "estimated_amount": 5602.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5625.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5625.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5690.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5631.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5631.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3243.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5602.15
            },
            {
              "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": 3833.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5625.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5625.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5690.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5690.61
            },
            {
              "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": 5897,
              "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": 5897,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5602.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5767.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5602.15
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2004.98
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1828.07
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5602.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5631.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5897,
              "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": 5897,
              "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": 96,
              "estimated_amount": 5661.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5631.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5897,
              "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": 5897,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5661.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5767.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3243.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5602.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2004.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5625.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5625.74
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1828.07
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Pouch Uro Sensura Mio Flex Red",
      "code_information": [
        {
          "code": "PX-CHCO12298",
          "type": "CDM"
        },
        {
          "code": "A5073",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.62,
          "discounted_cash": 0.4,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.62,
              "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": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "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": 0.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.5,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.6
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.21
            },
            {
              "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": "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.61
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.6
            },
            {
              "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": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.62,
              "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": 95,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.59
            },
            {
              "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 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 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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.34
            },
            {
              "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": 0.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.59
            },
            {
              "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": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.21
            },
            {
              "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": "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 PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.62,
              "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": 97.8,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.59
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.62,
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.61
            },
            {
              "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": "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "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 NAVIGATE [625280]",
              "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 MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "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": 0.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.59
            }
          ]
        }
      ]
    },
    {
      "description": "\"Briefs Wings Quilted Overnight 32\"\" to 44\"\" Med White\"",
      "code_information": [
        {
          "code": "PX-CHKN67033",
          "type": "CDM"
        },
        {
          "code": "A4520",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.54,
          "discounted_cash": 0.35,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.54,
              "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": 0.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.5,
              "estimated_amount": 0.52
            },
            {
              "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/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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.18
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.52
            },
            {
              "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": "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": "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "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": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "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 MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.52
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.52
            },
            {
              "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": "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.46
            },
            {
              "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": 0.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.52
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.3
            },
            {
              "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": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.52
            },
            {
              "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": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "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": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "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": 0.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.18
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.54,
              "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": 0.54,
              "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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 97.8,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.52
            }
          ]
        }
      ]
    },
    {
      "description": "\"Briefs Wings Quilted Overnight 45\"\" to 58\"\" Lrg Blue\"",
      "code_information": [
        {
          "code": "PX-CHKN67034",
          "type": "CDM"
        },
        {
          "code": "A4520",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.55,
          "discounted_cash": 0.36,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.55,
              "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": 0.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.19
            },
            {
              "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": 0.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "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": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.55,
              "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": 0.55,
              "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": 0.55,
              "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": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.55,
              "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": 0.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.3
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.53
            },
            {
              "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": 0.55,
              "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": 0.47
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 97.8,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.55,
              "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": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.55,
              "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": 0.55,
              "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": 96,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.55,
              "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": 0.55,
              "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": 0.55,
              "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": 0.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.55,
              "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": 0.55,
              "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": 0.47
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            }
          ]
        }
      ]
    },
    {
      "description": "Feeding Tube Gastrostomy 22 Fr 20 Cc",
      "code_information": [
        {
          "code": "PX-CHKN720221",
          "type": "CDM"
        },
        {
          "code": "B4087",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 18.37,
          "discounted_cash": 11.94,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.37,
              "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": 96,
              "estimated_amount": 17.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 18.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 17.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.69
            },
            {
              "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": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.37,
              "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": 18.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.37,
              "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": 18.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 17.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 97.8,
              "estimated_amount": 17.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.73
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.61
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.37,
              "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": 10.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.37,
              "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": 18.37,
              "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": 96,
              "estimated_amount": 17.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.61
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 17.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 17.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.37,
              "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": 67.4,
              "estimated_amount": 12.38
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.73
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "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": 10.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.45
            },
            {
              "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": 11.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.37,
              "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": 18.37,
              "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": 18.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.64
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.37,
              "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": 16.17
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.69
            },
            {
              "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": 18.37,
              "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": 18.37,
              "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": 10.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.61
            }
          ]
        }
      ]
    },
    {
      "description": "\"1 Pc Ctf Soft Cvx High Output Sensura 3/8\"\"-2\"\" Stoma\"",
      "code_information": [
        {
          "code": "PX-CHCO18671",
          "type": "CDM"
        },
        {
          "code": "A4389",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 10.28,
          "discounted_cash": 6.68,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.82
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.77
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 9.77
            },
            {
              "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": 10.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.28,
              "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": 10.28,
              "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": 10.28,
              "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": 10.28,
              "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": 10.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10.05
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.28,
              "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": 95,
              "estimated_amount": 9.77
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.82
            },
            {
              "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": 5.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.77
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.28,
              "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": 10.28,
              "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": 10.28,
              "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": 9.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.77
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.74
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.77
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.77
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.28,
              "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": 8.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.74
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.82
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.87
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.19,
              "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": 97.8,
              "estimated_amount": 10.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.28,
              "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": 10.28,
              "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": 10.28,
              "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": 10.28,
              "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": 10.28,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.77
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.28,
              "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": 10.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.77
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.74
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.19,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.28,
              "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": 96.5,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.28,
              "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": 96,
              "estimated_amount": 9.87
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 10.28,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.81
            },
            {
              "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": 95.4,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.65
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.19,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "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": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.44
            },
            {
              "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": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 8.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 11.39
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.39
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 11.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.99,
              "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": 95,
              "estimated_amount": 11.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.39
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.39
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.73
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.39
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.51
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.51
            },
            {
              "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": 95.4,
              "estimated_amount": 11.44
            },
            {
              "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": 10.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.45
            },
            {
              "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": "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.72
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.45
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.45
            },
            {
              "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": 11.99,
              "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": 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": "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.57
            },
            {
              "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.72
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.59
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.45
            },
            {
              "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.39
            },
            {
              "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": "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": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.57
            },
            {
              "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 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": "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": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.39
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.45
            },
            {
              "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 11.99
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.72
            },
            {
              "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": 7.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.73
            },
            {
              "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": 6.59
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.45
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.51
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.57
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.72
            }
          ]
        }
      ]
    },
    {
      "description": "HC Tangential Biopsy Skin Ea Sep/Addl",
      "code_information": [
        {
          "code": "PX-36100927",
          "type": "CDM"
        },
        {
          "code": "11103",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 168,
          "discounted_cash": 109.2,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "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": "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 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 NAVIGATE [625280]",
              "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": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 164.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 162.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 161.28
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 57.12
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 161.28
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "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": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 57.12
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 57.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 161.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 162.12
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 161.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "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": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 113.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 168,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 92.4
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 57.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 168,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 162.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 162.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "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": 147.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 162.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "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": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 168,
              "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": 96,
              "estimated_amount": 161.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 164.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 168,
              "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": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 164.3
            },
            {
              "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": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 161.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "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": 92.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "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": 109.2
            },
            {
              "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": "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": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 162.12
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "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": "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 92.4
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 57.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "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": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 162.12
            },
            {
              "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 SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "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": "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": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 161.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 164.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "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": "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 MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            }
          ]
        }
      ]
    },
    {
      "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": 168,
          "discounted_cash": 109.2,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "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": 109.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 162.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 161.28
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 161.28
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 142.8
            },
            {
              "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": 92.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 57.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 57.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 162.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 164.3
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 57.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 164.3
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 162.12
            },
            {
              "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": 168,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 162.12
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 92.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 161.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 168,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 164.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 113.23
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 161.28
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "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": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 162.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 57.12
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 57.12
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 92.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 161.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 162.12
            },
            {
              "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": "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 162.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "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": "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 161.28
            },
            {
              "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": 147.84
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 164.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 159.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "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": "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 NAVIGATE [625280]",
              "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 ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 92.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 161.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 160.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 160.44
            },
            {
              "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": "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 STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 168,
              "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": 95,
              "estimated_amount": 159.6
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.08
            }
          ]
        }
      ]
    },
    {
      "description": "HC Dihydrotestosterone (Dht) So",
      "code_information": [
        {
          "code": "PX-30101436",
          "type": "CDM"
        },
        {
          "code": "82642",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 154,
          "discounted_cash": 100.1,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.74,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 84.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.74
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 148.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 148.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 84.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 52.36
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 52.36
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "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": 100.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.74,
              "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": 97.8,
              "estimated_amount": 150.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 84.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 52.36
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 52.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 148.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "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": 135.52
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 150.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 84.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.74
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 148.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.74
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.28,
              "estimated_amount": 29.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 148.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.9
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 150.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.74
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.74
            },
            {
              "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": 84.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 84.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.74,
              "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": 96.5,
              "estimated_amount": 148.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 150.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.74
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 84.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 146.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "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": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.74
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 52.36
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 146.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 148.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 147.84
            }
          ],
          "minimum": 29.28,
          "maximum": 29.28
        }
      ]
    },
    {
      "description": "HC Endovenous Femoral-Popliteal Arterial Revasc",
      "code_information": [
        {
          "code": "PX-36100948",
          "type": "CDM"
        },
        {
          "code": "0505T",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 12697,
          "discounted_cash": 8253.05,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12112.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12125.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12697,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3936.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12112.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12112.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12697,
              "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": 12697,
              "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": 97.8,
              "estimated_amount": 12417.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12062.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12062.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6983.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12062.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12189.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12112.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12112.94
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12062.15
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3936.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6983.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6983.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12112.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12252.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12252.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12125.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12697,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3936.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6983.35
            },
            {
              "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": 6983.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12062.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4316.98
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12189.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12112.94
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 8557.78
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12189.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12112.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12697,
              "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": 12697,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12189.12
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12062.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 12417.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6983.35
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3936.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 12417.67
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10792.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12112.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12112.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12112.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12252.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12125.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12697,
              "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": 95,
              "estimated_amount": 12062.15
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10792.45
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12062.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3936.07
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4316.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12125.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12697,
              "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": 95.4,
              "estimated_amount": 12112.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12112.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12062.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4316.98
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10792.45
            },
            {
              "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": 8253.05
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12189.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12112.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12125.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12125.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12697,
              "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": 6983.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12062.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4316.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12112.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12125.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12697,
              "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": 95.5,
              "estimated_amount": 12125.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12697,
              "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": 12697,
              "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": 96,
              "estimated_amount": 12189.12
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10792.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12062.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3936.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12112.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12252.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12252.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12697,
              "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": 12697,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3936.07
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12189.12
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3936.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12062.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12062.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3936.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 12417.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12112.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12697,
              "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": 95.4,
              "estimated_amount": 12112.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12125.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12697,
              "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": 12697,
              "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": 95,
              "estimated_amount": 12062.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10792.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12252.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12252.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12125.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12697,
              "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": 11173.36
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3936.07
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4316.98
            }
          ]
        }
      ]
    },
    {
      "description": "HC Fine Needle Asp Biopsy W Ultrasound Ea Addl Lesion",
      "code_information": [
        {
          "code": "PX-36100959",
          "type": "CDM"
        },
        {
          "code": "10006",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2352,
          "discounted_cash": 1528.8,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2243.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2243.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2352,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 729.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2352,
              "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": 95.4,
              "estimated_amount": 2243.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2269.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2269.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2246.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2352,
              "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": 95,
              "estimated_amount": 2234.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2257.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2243.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2269.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2246.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2352,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 729.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2243.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2246.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2352,
              "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": 2352,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2257.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2300.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2234.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 729.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 729.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 799.68
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1999.2
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 729.12,
              "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": 2352,
              "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": 1293.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2234.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2243.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2352,
              "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": 2352,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 729.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2257.92
            },
            {
              "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": 2352,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 729.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1999.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2246.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2352,
              "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": 2352,
              "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": 2352,
              "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": 95,
              "estimated_amount": 2234.4
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2234.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2243.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2269.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2352,
              "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": 2352,
              "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": 1999.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1999.2
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 729.12,
              "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": 1293.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1293.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2234.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 729.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2243.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2352,
              "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": 67.4,
              "estimated_amount": 1585.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2300.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1293.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 729.12
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2234.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2243.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2243.81
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 729.12,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2243.81
            },
            {
              "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": 95.4,
              "estimated_amount": 2243.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2352,
              "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": 2352,
              "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": 1528.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2243.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2246.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2246.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2352,
              "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": 2352,
              "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": 95,
              "estimated_amount": 2234.4
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2234.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1293.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2234.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 799.68
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 799.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2243.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2243.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2269.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2246.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2257.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2257.92
            },
            {
              "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": 2069.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1293.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2269.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2234.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2234.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 729.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2243.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2246.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2246.16
            },
            {
              "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": 1293.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 799.68
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2257.92
            },
            {
              "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": 2352,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2300.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2352,
              "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": 2352,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1999.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2243.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2243.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2269.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2246.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2300.26
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 799.68
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1999.2
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 729.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2352,
              "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": 95,
              "estimated_amount": 2234.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2234.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2257.92
            }
          ]
        }
      ]
    },
    {
      "description": "\"Barrier Ring Oval Cvx 7-8\"\" X 1-1-2\"\"\"",
      "code_information": [
        {
          "code": "PX-CHHO89601",
          "type": "CDM"
        },
        {
          "code": "A4411",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 7.3,
          "discounted_cash": 4.74,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.26,
              "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": 95,
              "estimated_amount": 6.94
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.94
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.97
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.01
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7.3,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.94
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.26,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.3,
              "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": 95.4,
              "estimated_amount": 6.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.3,
              "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": 7.3,
              "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": 95,
              "estimated_amount": 6.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.04
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.94
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.26,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.3,
              "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": 96,
              "estimated_amount": 7.01
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.3,
              "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": 7.3,
              "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": 6.21
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.21
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.48
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.96
            },
            {
              "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": 95.4,
              "estimated_amount": 6.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.3,
              "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": 96,
              "estimated_amount": 7.01
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.02
            },
            {
              "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": 7.3,
              "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": 95.4,
              "estimated_amount": 6.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.26
            },
            {
              "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": 7.3,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.3,
              "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": 7.3,
              "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": 95,
              "estimated_amount": 6.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.94
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.97
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.3,
              "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": 7.3,
              "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": 95,
              "estimated_amount": 6.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.48
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.3,
              "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": 6.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 7.3
            },
            {
              "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": 4.02
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.48
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.3,
              "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": 6.42
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.01
            },
            {
              "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": 7.3,
              "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": 97.8,
              "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": 95,
              "estimated_amount": 6.94
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.26
            }
          ]
        }
      ]
    },
    {
      "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3623.29
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3608.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3608.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3627.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3627.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3627.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3627.09
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3714.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3714.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3608.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3608.1
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3646.08
            },
            {
              "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": 3342.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3623.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3623.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3623.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3627.09
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3798,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1291.32
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1177.38,
              "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": 2088.9
            },
            {
              "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": "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": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1177.38,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3608.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1177.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1177.38
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1291.32
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1291.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3623.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3623.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3623.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3623.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3623.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3665.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3627.09
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3646.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3623.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3623.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3665.07
            },
            {
              "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": 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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3608.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3714.44
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3608.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3608.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1177.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3623.29
            },
            {
              "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": "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": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 2559.85
            },
            {
              "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": "HUMANA [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": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3623.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3665.07
            },
            {
              "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": "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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1177.38
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1177.38
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3646.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3623.29
            },
            {
              "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": "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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3228.3
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3228.3
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3608.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1177.38,
              "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": 96,
              "estimated_amount": 3646.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3623.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3627.09
            },
            {
              "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1177.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3623.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3665.07
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3608.1
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3608.1
            },
            {
              "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": "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3608.1
            },
            {
              "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": 3798,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3623.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3665.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3627.09
            },
            {
              "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 MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1177.38
            },
            {
              "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": 2088.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3608.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1177.38
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3608.1
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2088.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1177.38
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1291.32
            },
            {
              "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": 95.4,
              "estimated_amount": 3623.29
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1177.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3665.07
            },
            {
              "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": 3798,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3665.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3627.09
            },
            {
              "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": 3798,
              "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": 97.8,
              "estimated_amount": 3714.44
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3228.3
            },
            {
              "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": 3798,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3627.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3798,
              "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": 96,
              "estimated_amount": 3646.08
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1291.32
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3646.08
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3646.08
            }
          ]
        }
      ]
    },
    {
      "description": "Intermittent Hydrophillic 14 Fr 16 in Hi-Slip",
      "code_information": [
        {
          "code": "PX-CHIMCMXHSPM4014",
          "type": "CDM"
        },
        {
          "code": "A4351",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.81,
          "discounted_cash": 1.18,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.73
            },
            {
              "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": 1.81,
              "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": 95,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.72
            },
            {
              "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": 1.81,
              "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": 95.4,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.81,
              "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": 1.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.56,
              "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": 95,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 1.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.81,
              "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": 1.81,
              "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": 95.4,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.81,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.56,
              "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": 1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 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": 1.81,
              "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": 1.81,
              "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": 1.81,
              "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": 1.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.81,
              "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": 1.81,
              "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": 97.8,
              "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": 97.8,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 1.54
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.56,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.81,
              "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": 95.4,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.81,
              "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": 96,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.81,
              "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": 1.81,
              "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": 1.81,
              "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": 97.8,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 67.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.81,
              "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": 95,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.74
            }
          ]
        }
      ]
    },
    {
      "description": "Non-Adherent Drsg Impregnated Oil Emulsion Curity 5x9",
      "code_information": [
        {
          "code": "PX-CHKN6116",
          "type": "CDM"
        },
        {
          "code": "A6223",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.88,
          "discounted_cash": 1.87,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 2.88,
              "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": 2.88,
              "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": 2.88,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.89,
              "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": 2.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.82
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 95.4,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.88,
              "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": 2.88,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 2.88,
              "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": 95,
              "estimated_amount": 2.74
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.89,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.82
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.89,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.88,
              "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": 96,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.88,
              "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": 95,
              "estimated_amount": 2.74
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 1.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.74
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.88,
              "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": 95,
              "estimated_amount": 2.74
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.88,
              "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": 2.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.88,
              "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": 2.88,
              "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": 95,
              "estimated_amount": 2.74
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.88,
              "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": 1.58
            },
            {
              "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": 1.58
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.74
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.74
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 1.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.74
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.88,
              "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": 2.88,
              "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": 2.88,
              "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": 2.88,
              "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": 95,
              "estimated_amount": 2.74
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.74
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.89
            },
            {
              "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": 2.53
            },
            {
              "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": 95.4,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.88,
              "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": 2.88,
              "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": 96,
              "estimated_amount": 2.76
            },
            {
              "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": 2.88,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 96,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.58
            }
          ]
        }
      ]
    },
    {
      "description": "Non-Adherent Silicone Mepitel 2 in X 3 In",
      "code_information": [
        {
          "code": "PX-CHSM290510",
          "type": "CDM"
        },
        {
          "code": "A6206",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 7.32,
          "discounted_cash": 4.76,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.32,
              "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": 95,
              "estimated_amount": 6.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95,
              "estimated_amount": 6.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.27,
              "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": 7.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.16
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.98
            },
            {
              "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": 95.4,
              "estimated_amount": 6.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.32,
              "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": 7.32,
              "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": 7.32,
              "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": 96.5,
              "estimated_amount": 7.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.32,
              "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": 7.32,
              "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": 6.44
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.22
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.27
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.22
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.16
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.98
            },
            {
              "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": 7.32,
              "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": 96,
              "estimated_amount": 7.03
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.95
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.27
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.27
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7.32,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.16
            },
            {
              "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": 4.03
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.32,
              "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": 95,
              "estimated_amount": 6.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.95
            },
            {
              "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": 7.32,
              "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": 6.22
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.32,
              "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": 96,
              "estimated_amount": 7.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 6.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.32,
              "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": 7.32,
              "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": 7.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.27,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95.5,
              "estimated_amount": 6.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.32,
              "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": 7.32,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.27
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.32,
              "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": 95,
              "estimated_amount": 6.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 4.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.32,
              "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": 7.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 6.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.06
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.95
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96,
              "estimated_amount": 7.03
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.27,
              "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": 95,
              "estimated_amount": 6.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.22
            }
          ]
        }
      ]
    },
    {
      "description": "Ide G180045 Exceed Edwards Centera Heart Valve",
      "code_information": [
        {
          "code": "PX-62400204",
          "type": "CDM"
        },
        {
          "code": "L8699",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 32500,
          "discounted_cash": 21125,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 31362.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31037.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32500,
              "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": 27625
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 31785
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31037.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32500,
              "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": 32500,
              "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": 32500,
              "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": 27625
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30875
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10075
            },
            {
              "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": 32500,
              "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": 17875
            },
            {
              "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": "HUMANA [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": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31037.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32500,
              "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": 32500,
              "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": 32500,
              "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": 96,
              "estimated_amount": 31200
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31037.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10075
            },
            {
              "payer_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 MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10075
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10075
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 11050
            },
            {
              "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": "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 CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 31200
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32500,
              "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": 67.4,
              "estimated_amount": 21905
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 31200
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30875
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 31785
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 11050
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31037.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31037.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 31200
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 32500,
              "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": 97.8,
              "estimated_amount": 31785
            },
            {
              "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": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17875
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30875
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10075
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10075
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 32500,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 31362.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32500,
              "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": 32500,
              "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": 32500,
              "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": 95,
              "estimated_amount": 30875
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 31362.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 31362.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31037.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32500,
              "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": 32500,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 31200
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 31200
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 11050
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 10075,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 11050
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10075
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 31362.5
            },
            {
              "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": 17875
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30875
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30875
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30875
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31037.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31037.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10075
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10075
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30875
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10075
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27625
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31037.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32500,
              "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": 32500,
              "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": 95,
              "estimated_amount": 30875
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 31785
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30875
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30875
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 10075,
              "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": 95,
              "estimated_amount": 30875
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 31362.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 31362.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 31200
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30875
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30875
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32500,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 10075,
              "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": 32500
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 11050
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 32500,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32500,
              "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": 32500,
              "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": 32500,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "Drainage Bag 2000ml Bedside Adj Hanger Samp Sleeve Lf",
      "code_information": [
        {
          "code": "PX-CHBA802002",
          "type": "CDM"
        },
        {
          "code": "A4357",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.45,
          "discounted_cash": 1.59,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.45,
              "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": 2.45,
              "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": 2.45,
              "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": 97.8,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.45,
              "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": 2.45,
              "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": 97.8,
              "estimated_amount": 2.4
            },
            {
              "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": 1.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.35
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.08
            },
            {
              "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": 95.4,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 2.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.45,
              "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": 2.45,
              "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": 95,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 97.8,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.45,
              "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": 2.45,
              "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": 95,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.45,
              "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": 2.45,
              "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": 2.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.76,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.35
            },
            {
              "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": 2.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.76,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.45,
              "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": 2.45,
              "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": 2.45,
              "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": 2.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 2.45,
              "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": 96,
              "estimated_amount": 2.35
            },
            {
              "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": 2.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 96.5,
              "estimated_amount": 2.36
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.36
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.76,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.45,
              "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": 2.45,
              "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": 97.8,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.35
            }
          ]
        }
      ]
    },
    {
      "description": "HC Trauma Activation Fee Cat 1 Lev 2",
      "code_information": [
        {
          "code": "PX-68200001",
          "type": "CDM"
        },
        {
          "code": "G0390",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 18966,
          "discounted_cash": 12327.9,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18093.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18093.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 18302.19
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5879.46
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16121.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 18207.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18093.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18093.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 18302.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 18112.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 18112.53
            },
            {
              "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": 18966,
              "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": 18966,
              "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": 16121.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5879.46
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6448.44
            },
            {
              "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": 12327.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 18548.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18017.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18093.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 18112.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 18207.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 18207.36
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18017.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18093.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 18302.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18966,
              "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": 18966,
              "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": 10431.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5879.46
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6448.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18093.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18093.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18966,
              "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": 97.8,
              "estimated_amount": 18548.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6448.44
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5879.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18093.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 18112.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 18112.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18966,
              "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": 18966,
              "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": 96,
              "estimated_amount": 18207.36
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18017.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18093.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18966,
              "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": 18966,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5879.46
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5879.46
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5879.46
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 18207.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 18302.19
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18017.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10431.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10431.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18093.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 18112.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18966,
              "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": 67.4,
              "estimated_amount": 12783.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 18112.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10431.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18017.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18017.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18017.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18017.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18017.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16121.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18093.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 18548.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 18966
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 18548.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10431.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10431.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10431.3
            },
            {
              "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": 95.4,
              "estimated_amount": 18093.56
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16121.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18093.56
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6448.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18093.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 18302.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 18112.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18966,
              "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": 18966,
              "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": 18966,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5879.46
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18017.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18017.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16121.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5879.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18093.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 18302.19
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 18207.36
            },
            {
              "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": 16690.08
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 18207.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18093.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18966,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6448.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18093.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 18302.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 18112.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 18112.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18966,
              "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": 18966,
              "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": 18966,
              "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": 95,
              "estimated_amount": 18017.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18017.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5879.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18017.7
            }
          ]
        }
      ]
    },
    {
      "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": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14476.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14476.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14643.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14643.88
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 14841.15
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4704.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14568
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14476.95
            },
            {
              "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": "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 MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5159.5
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8346.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14416.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14476.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14476.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14476.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14476.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14643.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14492.13
            },
            {
              "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": "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": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12898.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14476.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14492.13
            },
            {
              "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": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14416.25
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 14841.15
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14416.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4704.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5159.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14643.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14476.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14492.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15175,
              "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": 95.4,
              "estimated_amount": 14476.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14476.95
            },
            {
              "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": 15175,
              "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": 15175,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4704.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14568
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14416.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4704.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5159.5
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 14841.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4704.25
            },
            {
              "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": 9863.75
            },
            {
              "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": "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": "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14568
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14416.25
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14643.88
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14568
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14416.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14476.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14492.13
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4704.25
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14416.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14416.25
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14416.25
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4704.25
            },
            {
              "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": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14492.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14492.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14492.13
            },
            {
              "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": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 10227.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14568
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14416.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14568
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14568
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14476.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14492.13
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4704.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14416.25
            },
            {
              "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": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8346.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14416.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4704.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5159.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14476.95
            },
            {
              "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": 95.4,
              "estimated_amount": 14476.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14476.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14476.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14492.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14476.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14492.13
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 14841.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14416.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5159.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14643.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14643.88
            },
            {
              "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": "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14416.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4704.25
            }
          ]
        }
      ]
    },
    {
      "description": "Coveralls W - Hood and Boots 2xl White",
      "code_information": [
        {
          "code": "PX-CHMZNONCV980XXL",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.38,
          "discounted_cash": 3.5,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.38,
              "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": 5.38,
              "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": 5.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 4.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.11
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.38,
              "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": 5.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 2.96
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.11
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.11
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.16
            },
            {
              "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": 5.38,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.11
            },
            {
              "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": 95.4,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.26
            },
            {
              "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": 2.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5.38
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.11
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 5.38,
              "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": 5.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.11
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.11
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5.38,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.26
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.11
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.38,
              "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": 95,
              "estimated_amount": 5.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.38,
              "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": 95,
              "estimated_amount": 5.11
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.38,
              "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": 2.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.38,
              "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": 5.38,
              "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": 95,
              "estimated_amount": 5.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.11
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 4.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.38,
              "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": 95.4,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.57
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.38,
              "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": 5.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.67
            }
          ]
        }
      ]
    },
    {
      "description": "\"Gauze Sponge Bioguard 4\"\" X 4\"\" 12 Ply Strl\"",
      "code_information": [
        {
          "code": "PX-CHDUM97412",
          "type": "CDM"
        },
        {
          "code": "A6222",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.35,
          "discounted_cash": 0.23,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "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": 97.8,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.11
            },
            {
              "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": "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": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.11,
              "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": 0.19
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "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": 0.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.33
            },
            {
              "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": 0.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.11,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.33
            },
            {
              "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": "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": "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": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "estimated_amount": 0.33
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.34
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.11,
              "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": 0.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.33
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.34
            },
            {
              "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/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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.33
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.33
            },
            {
              "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": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 0.3
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.33
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.33
            },
            {
              "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 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": "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": "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 MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.34
            },
            {
              "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": 0.31
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.33
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.35,
              "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": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.11
            }
          ]
        }
      ]
    },
    {
      "description": "Staple Remover Precise Handle Style",
      "code_information": [
        {
          "code": "PX-CH3MSR3",
          "type": "CDM"
        },
        {
          "code": "A4649",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 9.4,
          "discounted_cash": 6.11,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 9.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.4,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 97.8,
              "estimated_amount": 9.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.4,
              "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": 8.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.4,
              "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": 9.4,
              "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": 9.4,
              "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": 9.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.4,
              "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": 96,
              "estimated_amount": 9.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.07
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.97
            },
            {
              "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": 9.4,
              "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": 9.4,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.91,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.17
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 9.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 5.17
            },
            {
              "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": 5.17
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.4,
              "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": 9.4,
              "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": 95,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.4,
              "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": 9.4,
              "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": 96,
              "estimated_amount": 9.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.97
            },
            {
              "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": 95.4,
              "estimated_amount": 8.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 9.4,
              "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": 9.4,
              "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": 95,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.4,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.17
            },
            {
              "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": 9.4,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9.19
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.4,
              "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": 95.4,
              "estimated_amount": 8.97
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.02
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 9.4,
              "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": 7.99
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.91,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.4,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.91,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Excise Benign Lesion Face 1.1-2cm",
      "code_information": [
        {
          "code": "PX-36100761",
          "type": "CDM"
        },
        {
          "code": "11442",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2805,
          "discounted_cash": 1823.25,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2675.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2675.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2675.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2706.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2678.78
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 869.55
            },
            {
              "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": 2468.4
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2384.25
            },
            {
              "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": 1542.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 869.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2692.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2805,
              "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": 96,
              "estimated_amount": 2692.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2692.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2664.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2678.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2675.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2706.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2678.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2805,
              "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": 2805,
              "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": 1542.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 2664.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2664.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 953.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2805,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2675.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2675.97
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2692.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2743.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 1542.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2664.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2675.97
            },
            {
              "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": 95.4,
              "estimated_amount": 2675.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2678.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2678.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2805,
              "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": 2805,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2675.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2675.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2675.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2675.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2706.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2678.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2805,
              "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": 2805,
              "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": 2805,
              "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": 2384.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 953.7
            },
            {
              "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": 1823.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2706.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2678.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2678.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2805,
              "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": 2805,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 953.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2384.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 953.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 869.55
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2692.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2675.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2706.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2678.78
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2664.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1542.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2664.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2743.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2664.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2675.97
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 869.55
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2384.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2664.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 869.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2675.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2805,
              "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": 2805,
              "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": 2805,
              "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": 2805,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2692.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2675.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2743.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2678.78
            },
            {
              "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": 2805,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 869.55
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 1890.57
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2664.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 869.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2384.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2692.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2805,
              "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": 95,
              "estimated_amount": 2664.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 869.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 869.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 953.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2675.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2706.83
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 869.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2675.97
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2664.75
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2664.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2743.29
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2664.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2706.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2805,
              "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": 1542.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2664.75
            }
          ]
        }
      ]
    },
    {
      "description": "HC Hla-Dqa1",
      "code_information": [
        {
          "code": "PX-30101013",
          "type": "CDM"
        },
        {
          "code": "81382",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1584,
          "discounted_cash": 1029.6,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1511.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1511.14
            },
            {
              "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": 95.4,
              "estimated_amount": 1511.14
            },
            {
              "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": 1584,
              "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": 95,
              "estimated_amount": 1504.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1504.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 538.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 538.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1511.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1528.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1528.56
            },
            {
              "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": "BUCKEYE COMMUNITY 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": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 491.04,
              "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": 1346.4
            },
            {
              "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": "HUMANA [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": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1511.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1511.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1512.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1512.72
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1520.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1511.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1511.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 538.56
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 871.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 871.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1504.8
            },
            {
              "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": 1584,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1511.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1511.14
            },
            {
              "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": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 463.8,
              "estimated_amount": 463.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1504.8
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 491.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1511.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1528.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 491.04
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1346.4
            },
            {
              "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": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 463.8,
              "estimated_amount": 463.8
            },
            {
              "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 OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 463.8,
              "estimated_amount": 463.8
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1504.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1549.15
            },
            {
              "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": 871.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1504.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1504.8
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 538.56
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1520.64
            },
            {
              "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": 1584,
              "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": 1584,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1549.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1504.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 491.04
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 491.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 491.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1511.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1511.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1512.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1512.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1512.72
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1528.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1512.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1512.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 463.8,
              "estimated_amount": 463.8
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 491.04
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 491.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1511.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1512.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 463.8,
              "estimated_amount": 463.8
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1584,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 491.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1511.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1511.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1528.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1528.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 491.04
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1504.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 491.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1511.14
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1520.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1549.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1528.56
            },
            {
              "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 OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 463.8,
              "estimated_amount": 463.8
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1504.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1504.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1511.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1512.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 463.8,
              "estimated_amount": 463.8
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 1067.62
            },
            {
              "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": 1393.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1584
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1504.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 491.04
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1520.64
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 491.04,
              "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": 96,
              "estimated_amount": 1520.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1520.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1512.72
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1520.64
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1504.8
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 538.56
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1504.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1549.15
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1346.4
            }
          ],
          "minimum": 463.8,
          "maximum": 463.8
        }
      ]
    },
    {
      "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": 246,
          "discounted_cash": 159.9,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 234.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 234.93
            },
            {
              "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/RIVER VALLEY CHOICE PLUS [625265]",
              "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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 76.26
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 236.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 240.59
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 76.26
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 233.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 76.26,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 234.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 237.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 234.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 234.93
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 233.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 76.26,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 135.3
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 233.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 233.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 83.64
            },
            {
              "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": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 234.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 234.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 234.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "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 UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.26,
              "estimated_amount": 60.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.26,
              "estimated_amount": 60.26
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 236.16
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 76.26
            },
            {
              "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": 159.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 236.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 234.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.26,
              "estimated_amount": 60.26
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 165.8
            },
            {
              "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": 216.48
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 233.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 76.26
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 83.64
            },
            {
              "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": 246,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 237.39
            },
            {
              "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": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.26,
              "estimated_amount": 60.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 234.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 234.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 234.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 234.93
            },
            {
              "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": 246,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 76.26,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 240.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 240.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 76.26
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 83.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 233.7
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.1
            },
            {
              "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": 246,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 237.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.26,
              "estimated_amount": 60.26
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 234.68
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 76.26
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 76.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 237.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 234.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 234.93
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 76.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 240.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 233.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 234.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 234.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.26,
              "estimated_amount": 60.26
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 236.16
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 246,
              "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": 95,
              "estimated_amount": 233.7
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 234.68
            },
            {
              "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": 95.4,
              "estimated_amount": 234.68
            },
            {
              "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": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 234.93
            },
            {
              "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 76.26
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 76.26
            },
            {
              "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": 246,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 234.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 234.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 237.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 237.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.26,
              "estimated_amount": 60.26
            },
            {
              "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": 246,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 233.7
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 233.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 83.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 234.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 234.68
            },
            {
              "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": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.26,
              "estimated_amount": 60.26
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 236.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 234.68
            },
            {
              "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": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.26,
              "estimated_amount": 60.26
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 236.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 233.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 233.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 234.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 234.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 237.39
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 233.7
            },
            {
              "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": 135.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 233.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 83.64
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 236.16
            }
          ],
          "minimum": 60.26,
          "maximum": 60.26
        }
      ]
    },
    {
      "description": "\"2 Pc Pouch 2-1-4\"\" New Image\"",
      "code_information": [
        {
          "code": "PX-CHHO18173",
          "type": "CDM"
        },
        {
          "code": "A5063",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.89,
          "discounted_cash": 2.53,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.89,
              "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": 3.89,
              "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": 97.8,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.14
            },
            {
              "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": 2.14
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.89,
              "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": 3.89,
              "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": 96,
              "estimated_amount": 3.73
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.21,
              "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": 3.89,
              "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": 3.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "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": 95.4,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 3.89,
              "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": 96,
              "estimated_amount": 3.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.75
            },
            {
              "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": 3.42
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 2.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.89,
              "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": 3.89,
              "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": 3.89,
              "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": 3.89,
              "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": 3.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.73
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.21,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.89,
              "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": 95,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.21
            },
            {
              "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": 3.89,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.89,
              "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": 3.89,
              "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": 95,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 3.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.89,
              "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": 3.89,
              "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": 3.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.21,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 3.89,
              "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": 95,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.31
            }
          ]
        }
      ]
    },
    {
      "description": "HC Kit Midline Catheter Full",
      "code_information": [
        {
          "code": "PX-27200426",
          "type": "CDM"
        },
        {
          "code": "C1751",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 349,
          "discounted_cash": 226.85,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 332.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 332.95
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 331.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 332.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 333.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 349,
              "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": 296.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 341.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 191.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 331.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 349,
              "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": 349,
              "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": 96,
              "estimated_amount": 335.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 332.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 332.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 332.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 336.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 333.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 349,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 108.19
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 235.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 341.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 191.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 331.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 118.66
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 118.66
            },
            {
              "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": 349,
              "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": 97.8,
              "estimated_amount": 341.32
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 118.66
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 331.55
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 108.19,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 332.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 349,
              "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": 349,
              "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": 95,
              "estimated_amount": 331.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 331.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 331.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 118.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 336.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 349,
              "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": 349,
              "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": 95.4,
              "estimated_amount": 332.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 336.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 336.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 333.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 333.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 349,
              "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": 97.8,
              "estimated_amount": 341.32
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 296.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 332.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 333.3
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 331.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 118.66
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 296.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 296.65
            },
            {
              "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": 349,
              "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": 95.5,
              "estimated_amount": 333.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 349,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 108.19,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 108.19
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 108.19
            },
            {
              "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": 349,
              "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": 191.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 108.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 333.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 349,
              "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": 349,
              "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": 349,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 335.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 191.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 108.19
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 335.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 332.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 332.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 336.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 349,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 108.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 332.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 332.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 191.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 333.3
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 108.19
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 335.04
            },
            {
              "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": 95.4,
              "estimated_amount": 332.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 332.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 349,
              "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": 96,
              "estimated_amount": 335.04
            },
            {
              "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": 349,
              "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": 95,
              "estimated_amount": 331.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 191.95
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 108.19,
              "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": 96,
              "estimated_amount": 335.04
            },
            {
              "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": 226.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 331.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 332.95
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 108.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 336.79
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 108.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 335.04
            },
            {
              "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": 307.12
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 296.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 332.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 349,
              "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": 95,
              "estimated_amount": 331.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 349
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 191.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 108.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 296.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 332.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 336.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 333.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 333.3
            },
            {
              "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": 349,
              "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": 349,
              "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": 349,
              "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": 95,
              "estimated_amount": 331.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 331.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 331.55
            }
          ]
        }
      ]
    },
    {
      "description": "Bcr Abl1 Gene Major Bp Sendout",
      "code_information": [
        {
          "code": "PX-30101014",
          "type": "CDM"
        },
        {
          "code": "81206",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1120,
          "discounted_cash": 728,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1068.48
            },
            {
              "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": 1120,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1064
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 347.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1068.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1068.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1080.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "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": 616
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1064
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1064
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1068.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1080.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "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": 1120,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 347.2,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1095.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1095.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 616
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1064
            },
            {
              "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": 1120,
              "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": 616
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 616
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 380.8
            },
            {
              "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": 95.4,
              "estimated_amount": 1068.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1068.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1080.8
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 952
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1080.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1068.48
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1120,
              "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": 985.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 380.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 380.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1095.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1068.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1068.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1068.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1080.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1080.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 952
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1064
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 380.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 952
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1068.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1080.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1064
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1068.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 754.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 347.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1064
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 952
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 347.2
            },
            {
              "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": 1120,
              "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": 616
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1064
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1064
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 347.2
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 347.2,
              "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": 1120,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1068.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1068.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1064
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 347.2,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 347.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1064
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1068.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 347.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1064
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 347.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1068.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 347.2
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1064
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 616
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1064
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 380.8
            },
            {
              "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": 728
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1095.36
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 952
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 347.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1120
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1068.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1068.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1075.2
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 347.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 616
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 952
            }
          ]
        }
      ]
    },
    {
      "description": "Bcr/Abl 1 Gene Minor Bp Sendout",
      "code_information": [
        {
          "code": "PX-30101015",
          "type": "CDM"
        },
        {
          "code": "81207",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 461,
          "discounted_cash": 299.65,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 439.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 439.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 439.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 253.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 437.95
            },
            {
              "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": 299.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 439.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 437.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 450.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 253.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 437.95
            },
            {
              "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": 461,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 461,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 437.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 439.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 142.91
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 437.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 253.55
            },
            {
              "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": 253.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 142.91
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 156.74
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 142.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 142.91
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 310.71
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 391.85
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 156.74
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 439.79
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 439.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 439.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 439.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 444.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 444.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 444.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 450.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 253.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 437.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 437.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 142.91
            },
            {
              "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": 95.4,
              "estimated_amount": 439.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 444.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "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": 461,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 142.91,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 142.91,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 142.91
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 142.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 450.86
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 391.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 391.85
            },
            {
              "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": 461,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 444.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 142.91,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 142.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 439.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 439.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "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": 461,
              "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": 95,
              "estimated_amount": 437.95
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 391.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 439.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 439.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 444.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 444.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "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": 405.68
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 391.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 437.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 156.74
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 391.85
            },
            {
              "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": 461,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 439.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 439.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 437.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 156.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 461
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 437.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 437.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 439.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 253.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 142.91
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 439.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 442.56
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 437.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 450.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 253.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 437.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 142.91
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 156.74
            }
          ]
        }
      ]
    },
    {
      "description": "HC Molecular Path Proc Level 1 So",
      "code_information": [
        {
          "code": "PX-30101016",
          "type": "CDM"
        },
        {
          "code": "81400",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 450,
          "discounted_cash": 292.5,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 429.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 429.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 432
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 432
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 427.5
            },
            {
              "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": 247.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 429.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 429.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 434.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 432
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 432
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 139.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 432
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 153
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 432
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 432
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 139.5
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 139.5,
              "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": 96.5,
              "estimated_amount": 434.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 434.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 432
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 432
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 432
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 432
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 432
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 427.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 247.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 247.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 427.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 427.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 139.5,
              "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": 247.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 427.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 427.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 139.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 139.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 429.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 429.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 429.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 432
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 153
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 429.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 429.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 429.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 429.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 432
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 432
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 427.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 432
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 440.1
            },
            {
              "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": 292.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 247.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 153
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 432
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 427.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 440.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 434.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 432
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 432
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 432
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 450
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 247.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 427.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 153
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 432
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 429.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 139.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 382.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 429.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 429.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 434.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 434.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 432
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 429.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 429.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 432
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 432
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 432
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 139.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 139.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 429.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 432
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 440.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 440.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 427.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 382.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 382.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 139.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 153
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 139.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 139.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 427.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 434.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 432
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 432
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 432
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 432
            },
            {
              "payer_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
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 382.5
            },
            {
              "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": 95.4,
              "estimated_amount": 429.3
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 139.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 247.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 427.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 427.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 432
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 432
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 432
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 382.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 427.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.96,
              "estimated_amount": 63.96
            }
          ],
          "minimum": 63.96,
          "maximum": 63.96
        }
      ]
    },
    {
      "description": "Manganese Sendout",
      "code_information": [
        {
          "code": "PX-30101044",
          "type": "CDM"
        },
        {
          "code": "83785",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 186,
          "discounted_cash": 120.9,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 177.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 177.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 177.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 177.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 57.66
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 63.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 57.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 181.91
            },
            {
              "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": 102.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 176.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 57.66
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 176.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 57.66,
              "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": 96.5,
              "estimated_amount": 179.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 179.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "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": 163.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 181.91
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 57.66
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 63.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 158.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 176.7
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 176.7
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 176.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 102.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 177.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 177.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 57.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 102.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 176.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 176.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 63.24
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 177.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 177.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 177.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 177.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 177.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 179.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 125.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 181.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 102.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 176.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 176.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 57.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 177.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 177.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 181.91
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 158.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 57.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 179.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 179.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 176.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 177.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 102.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 177.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 179.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 179.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 57.66
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 63.24
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 57.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 177.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 57.66,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 158.1
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 158.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 186
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 102.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 176.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 63.24
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 102.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 176.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "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": 120.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 178.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 57.66
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 158.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 158.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 57.66,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 177.44
            },
            {
              "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": 95.4,
              "estimated_amount": 177.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 176.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 176.7
            }
          ]
        }
      ]
    },
    {
      "description": "HC Organic Acid Single Quant So",
      "code_information": [
        {
          "code": "PX-30101047",
          "type": "CDM"
        },
        {
          "code": "83921",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 58,
          "discounted_cash": 37.7,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 56.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 55.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.98
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 19.72
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.98
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.98,
              "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": 58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 31.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 31.9
            },
            {
              "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": 31.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 49.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 55.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 55.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 49.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 55.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.98,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 56.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 55.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 55.39
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 56.72
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.98
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 49.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 55.33
            },
            {
              "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": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 55.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 55.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 55.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 31.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 19.72
            },
            {
              "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": 58,
              "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": 95,
              "estimated_amount": 55.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.98,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 55.39
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 49.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 55.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 31.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 31.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.98
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 55.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 19.72
            },
            {
              "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": 58,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 55.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 55.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 39.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 55.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 55.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "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": 51.04
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 55.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.98
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 19.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 55.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 55.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 55.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 31.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 55.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 49.3
            },
            {
              "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": 37.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 56.72
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 19.72
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 55.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 49.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 55.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 55.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 58,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.98
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 55.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 55.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 55.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 55.68
            },
            {
              "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": 58,
              "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": 58,
              "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": 95,
              "estimated_amount": 55.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 17.98
            },
            {
              "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": 58,
              "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": 95.4,
              "estimated_amount": 55.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 55.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 55.1
            }
          ]
        }
      ]
    },
    {
      "description": "HC Protoporphyrin RBC Quantitative So",
      "code_information": [
        {
          "code": "PX-30101052",
          "type": "CDM"
        },
        {
          "code": "84202",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 291,
          "discounted_cash": 189.15,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 277.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 277.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 279.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 279.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 160.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 90.21
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 276.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 277.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 279.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 279.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 276.45
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 90.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 277.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 277.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 280.82
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 276.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 279.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 160.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 160.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 276.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 98.94
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 276.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 98.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 160.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 276.45
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 90.21,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 90.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 277.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 280.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 279.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 279.36
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 196.13
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 90.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 160.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 276.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 247.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 98.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 277.61
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 279.36
            },
            {
              "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": 256.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 279.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 279.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 279.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 279.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 284.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 284.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 291
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 277.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 277.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 280.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 280.82
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 276.45
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 279.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 276.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 98.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 277.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 277.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 279.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 279.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 279.36
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 247.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 277.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 279.36
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 90.21,
              "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": 160.05
            },
            {
              "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": 189.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 276.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 98.94
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 247.35
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 90.21,
              "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": 96,
              "estimated_amount": 279.36
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 279.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 277.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 280.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 279.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 284.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 276.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 90.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 277.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 280.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 279.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 279.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 279.36
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 90.21
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 276.45
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 276.45
            },
            {
              "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": 95.4,
              "estimated_amount": 277.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 284.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 280.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 279.36
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 90.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 276.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 277.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 277.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 279.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 279.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 279.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 279.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 279.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 160.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 90.21
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 90.21
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 247.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 277.61
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 279.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 279.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 279.36
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 90.21
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 247.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 247.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 279.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 279.36
            }
          ]
        }
      ]
    },
    {
      "description": "HC Somatomedin So",
      "code_information": [
        {
          "code": "PX-30101055",
          "type": "CDM"
        },
        {
          "code": "84305",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 61,
          "discounted_cash": 39.65,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 58.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 58.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 58.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.95
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 58.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.91
            },
            {
              "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": 61,
              "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": 33.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 20.74
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.91
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 20.74
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 51.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.91,
              "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": 39.65
            },
            {
              "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": 61,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 41.11
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 51.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 58.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 59.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 51.85
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 58.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.91
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 59.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.91
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 20.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 58.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 51.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 58.19
            },
            {
              "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": 95.4,
              "estimated_amount": 58.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 58.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 58.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 58.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 58.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 20.74
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.91
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.91
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 51.85
            },
            {
              "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": 61,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 58.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 58.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 58.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 61,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 20.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 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": 33.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.91
            },
            {
              "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": 53.68
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 58.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 58.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "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": 61,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.91,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 59.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 51.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.91
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.91,
              "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": 61,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Vitamin Nos So",
      "code_information": [
        {
          "code": "PX-30101058",
          "type": "CDM"
        },
        {
          "code": "84591",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 667,
          "discounted_cash": 433.55,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 636.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 652.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 633.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 636.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 643.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 566.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 633.65
            },
            {
              "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": 433.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 652.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 366.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 206.77,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 206.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 636.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 206.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 667
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 366.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 206.77
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 206.77
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 226.78
            },
            {
              "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": 667,
              "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": 95.4,
              "estimated_amount": 636.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 206.77,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 633.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 636.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 636.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 636.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 636.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 206.77
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 667,
              "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": 366.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 366.85
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 633.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 226.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 636.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "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": 586.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 652.33
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 226.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 636.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 643.66
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "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": 667,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 566.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 206.77
            },
            {
              "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": 667,
              "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": 95,
              "estimated_amount": 633.65
            },
            {
              "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": 366.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 633.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 633.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 206.77
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 566.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 652.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 633.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 633.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 633.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 566.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 636.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 206.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 366.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 566.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 636.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 636.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 643.66
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "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": 95.4,
              "estimated_amount": 636.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 643.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 633.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 636.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 643.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 643.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 449.56
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 206.77
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 226.78
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 226.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 636.32
            },
            {
              "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": 667,
              "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": 667,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 633.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 643.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 366.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 566.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 636.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 636.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 640.32
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 633.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 633.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 206.77
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 206.77,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Neutralization Test Viral So",
      "code_information": [
        {
          "code": "PX-30200596",
          "type": "CDM"
        },
        {
          "code": "86382",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 407,
          "discounted_cash": 264.55,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 388.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 388.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 388.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.41,
              "estimated_amount": 63.41
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 386.65
            },
            {
              "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": 223.85
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 126.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 388.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 388.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 388.28
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 274.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 223.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 386.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 390.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 398.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 386.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 345.95
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 138.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 388.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 388.28
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 126.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 388.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 388.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 392.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.41,
              "estimated_amount": 63.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 223.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 126.17
            },
            {
              "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": 264.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 392.76
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 126.17,
              "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": 95,
              "estimated_amount": 386.65
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 386.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 223.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 386.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 388.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 388.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.41,
              "estimated_amount": 63.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 392.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.41,
              "estimated_amount": 63.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.41,
              "estimated_amount": 63.41
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 126.17
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 126.17
            },
            {
              "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": 358.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 223.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 386.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 390.72
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 138.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 392.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 388.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.41,
              "estimated_amount": 63.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 386.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 386.65
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 126.17,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 388.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 388.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 388.69
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 390.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 388.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 388.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.41,
              "estimated_amount": 63.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.41,
              "estimated_amount": 63.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 390.72
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 345.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 398.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 407
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 398.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 386.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 390.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 392.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.41,
              "estimated_amount": 63.41
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 138.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 388.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.41,
              "estimated_amount": 63.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.41,
              "estimated_amount": 63.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.41,
              "estimated_amount": 63.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 390.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 388.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 388.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 388.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 388.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.41,
              "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": 95,
              "estimated_amount": 386.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 126.17
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 138.38
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 345.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.41,
              "estimated_amount": 63.41
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 386.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 398.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 126.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 223.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 223.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 386.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 126.17
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 345.95
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 126.17,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 126.17
            },
            {
              "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": 95.4,
              "estimated_amount": 388.28
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 345.95
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 345.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 388.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 388.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 392.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 392.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 388.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.41,
              "estimated_amount": 63.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 390.72
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 126.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 388.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.41,
              "estimated_amount": 63.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.41,
              "estimated_amount": 63.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 386.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 138.38
            }
          ],
          "minimum": 63.41,
          "maximum": 63.41
        }
      ]
    },
    {
      "description": "HC Brucella Antibody Confirm So",
      "code_information": [
        {
          "code": "PX-30200598",
          "type": "CDM"
        },
        {
          "code": "86622",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 152,
          "discounted_cash": 98.8,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 145.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 145.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 146.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.49,
              "estimated_amount": 33.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.49,
              "estimated_amount": 33.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.49,
              "estimated_amount": 33.49
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.12
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 144.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 148.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 144.4
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.12,
              "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": 95.4,
              "estimated_amount": 145.01
            },
            {
              "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": 95.4,
              "estimated_amount": 145.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 145.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 145.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 145.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 145.92
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 51.68
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 144.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.12
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 51.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 145.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.49,
              "estimated_amount": 33.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.49,
              "estimated_amount": 33.49
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 146.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 145.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.49,
              "estimated_amount": 33.49
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 51.68
            },
            {
              "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": 98.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 148.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 144.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 145.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.49,
              "estimated_amount": 33.49
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 144.4
            },
            {
              "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": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "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 HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 145.01
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.12,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.49,
              "estimated_amount": 33.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.49,
              "estimated_amount": 33.49
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 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": 95,
              "estimated_amount": 144.4
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 129.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 144.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.12
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 145.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 145.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.49,
              "estimated_amount": 33.49
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.12
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 144.4
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 145.92
            },
            {
              "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": 152,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 145.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 145.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 145.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 145.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 145.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 145.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 146.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 146.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 145.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.49,
              "estimated_amount": 33.49
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 145.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.49,
              "estimated_amount": 33.49
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 102.45
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 51.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 148.66
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.12
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 145.92
            },
            {
              "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": 152,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 145.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.49,
              "estimated_amount": 33.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.49,
              "estimated_amount": 33.49
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 144.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 83.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 145.01
            },
            {
              "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": 133.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 148.66
            },
            {
              "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": 83.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 145.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.49,
              "estimated_amount": 33.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.49,
              "estimated_amount": 33.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.49,
              "estimated_amount": 33.49
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 152,
              "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": 152,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 144.4
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.12,
              "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": 95.4,
              "estimated_amount": 145.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 146.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 146.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 145.16
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 144.4
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 144.4
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 83.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 144.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 144.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 145.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 145.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 145.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 145.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 146.68
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 47.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 51.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 145.01
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 145.92
            }
          ],
          "minimum": 33.49,
          "maximum": 33.49
        }
      ]
    },
    {
      "description": "HC Hmii Pocket Controller",
      "code_information": [
        {
          "code": "PX-27400089",
          "type": "CDM"
        },
        {
          "code": "Q0481",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 17615,
          "discounted_cash": 11449.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16804.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16998.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17615,
              "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": 95,
              "estimated_amount": 16734.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16734.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16804.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16998.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17615,
              "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": 17615,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 17227.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16734.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16734.25
            },
            {
              "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": 17615,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 11872.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16804.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17615,
              "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": 17615,
              "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": 17615,
              "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": 17615,
              "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": 97.8,
              "estimated_amount": 17227.47
            },
            {
              "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": 17615,
              "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": 17615
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 17227.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16734.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16734.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5460.65
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14972.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5460.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16804.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17615,
              "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": 9688.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 5460.65,
              "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": 96,
              "estimated_amount": 16910.4
            },
            {
              "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": 17615,
              "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": 17615,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5460.65
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 5460.65,
              "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": 95,
              "estimated_amount": 16734.25
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16734.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16998.48
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 16910.4
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 16910.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16804.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16804.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16998.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16822.33
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5460.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5460.65
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 5460.65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5989.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16804.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16804.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16822.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16822.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17615,
              "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": 95.4,
              "estimated_amount": 16804.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16822.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17615,
              "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": 9688.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16734.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 16910.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16998.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17615,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5460.65
            },
            {
              "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": 9688.25
            },
            {
              "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 [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16804.71
            },
            {
              "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": 95.4,
              "estimated_amount": 16804.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16822.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17615,
              "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": 96,
              "estimated_amount": 16910.4
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14972.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16822.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17615,
              "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": 96,
              "estimated_amount": 16910.4
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5460.65
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14972.75
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5989.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16804.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16804.71
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 16910.4
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 17615,
              "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": 9688.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16734.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5989.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5989.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5460.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16734.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5460.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16804.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16998.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16822.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16822.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17615,
              "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": 17615,
              "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": 17615,
              "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": 17615,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16804.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16804.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16998.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17615,
              "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": 15501.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16734.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16734.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5460.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5989.1
            },
            {
              "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": 11449.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16804.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16804.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16822.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16822.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 17227.47
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16734.25
            }
          ]
        }
      ]
    },
    {
      "description": "HC 12 Volt Sla Battery Each",
      "code_information": [
        {
          "code": "PX-27400104",
          "type": "CDM"
        },
        {
          "code": "Q0496",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 240,
          "discounted_cash": 156,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 228.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 228.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 231.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 231.6
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 228
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 231.6
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 204
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 74.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 230.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 228.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 228.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 231.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 229.2
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 161.76
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 204
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 228.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 228.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 228.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 229.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 240,
              "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": 240,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 74.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 230.4
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 74.4
            },
            {
              "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": 156
            },
            {
              "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": 240,
              "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": 240,
              "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": 240,
              "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": 95,
              "estimated_amount": 228
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 81.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 74.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 81.6
            },
            {
              "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": 95.4,
              "estimated_amount": 228.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 228.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 240,
              "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": 240,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 74.4,
              "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": 211.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 228.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 228.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 231.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 240,
              "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": 240,
              "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": 240,
              "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": 132
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 228
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 228
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 228
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 74.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 228.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 229.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 229.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 240,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 74.4
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 74.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 234.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 228
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 228
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 204
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 240,
              "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": 95.4,
              "estimated_amount": 228.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 229.2
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 228
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 228
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 234.72
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 74.4,
              "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": 240
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 204
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 228
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 240,
              "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": 240,
              "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": 240,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 228
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 132
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 228.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 228.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 228.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 231.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 240,
              "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": 240,
              "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": 96,
              "estimated_amount": 230.4
            },
            {
              "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": 240,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 230.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 132
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 132
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 231.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 229.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 229.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 229.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 228
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 204
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 228.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 240,
              "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": 240,
              "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": 132
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 228
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 204
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 132
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 74.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 228
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 229.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 230.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 228.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 229.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 240,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 74.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 230.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 230.4
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 240,
              "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": 240,
              "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": 97.8,
              "estimated_amount": 234.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 234.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 132
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 74.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 74.4
            }
          ]
        }
      ]
    },
    {
      "description": "HH Pt Eval",
      "code_information": [
        {
          "code": "PX-42100100",
          "type": "CDM"
        },
        {
          "code": "G0151",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 60.51,
          "discounted_cash": 39.33,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.51,
              "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": 60.51,
              "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": 97.8,
              "estimated_amount": 59.18
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 59.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 20.57
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 51.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.51,
              "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": 60.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.39
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 51.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 59.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.28
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 20.57
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 20.57
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "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": 60.51,
              "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": 60.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 59.18
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 51.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.51,
              "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": 60.51,
              "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": 96,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.51,
              "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": 60.51,
              "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": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 20.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 20.57
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.51,
              "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": 60.51,
              "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": 60.51,
              "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": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.09
            },
            {
              "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": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.51,
              "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": 53.25
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 60.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "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": 33.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 51.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.51,
              "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": 60.51,
              "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": 51.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.09
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 58.85,
          "discounted_cash": 39.33,
          "payers_information": [
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 58.85,
              "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": 58.85,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HH Pt Applic of Modality",
      "code_information": [
        {
          "code": "PX-42100103",
          "type": "CDM"
        },
        {
          "code": "97032",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 60.51,
          "discounted_cash": 39.33,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.79
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 20.57
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "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": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 59.18
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 20.57
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76,
              "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": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.79
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 51.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.51,
              "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": 60.51,
              "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": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 59.18
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.79
            },
            {
              "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": 60.51,
              "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": 60.51,
              "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": 60.51,
              "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": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 20.57
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.28
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.51,
              "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": 67.4,
              "estimated_amount": 40.78
            },
            {
              "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": 53.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 59.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 20.57
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.79
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 51.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 20.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 60.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.51,
              "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": 33.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 51.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.51,
              "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": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.51,
              "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": 60.51,
              "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": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 51.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.51,
              "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": 51.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.51,
              "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": 60.51,
              "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": 60.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 51.43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 59.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.28
            },
            {
              "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": 39.33
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 58.85,
          "discounted_cash": 39.33,
          "payers_information": [
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 58.85,
              "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": 58.85,
              "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": 58.85,
              "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": 58.85,
              "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": 58.85,
              "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": 58.85,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HH Ot Eval",
      "code_information": [
        {
          "code": "PX-43100100",
          "type": "CDM"
        },
        {
          "code": "G0152",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 60.5,
          "discounted_cash": 39.32,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 60.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "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": 53.24
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.28
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 59.17
            },
            {
              "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": 33.28
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 51.43
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.5,
              "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": 95,
              "estimated_amount": 57.48
            },
            {
              "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": 95.4,
              "estimated_amount": 57.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.5,
              "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": 97.8,
              "estimated_amount": 59.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 20.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 20.57
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.38
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.78
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.08
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.5,
              "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": 60.5,
              "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": 60.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 51.43
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 60.5,
              "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": 60.5,
              "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": 60.5,
              "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": 60.5,
              "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": 51.43
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 51.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.78
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 20.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "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": 60.5,
              "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": 60.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 59.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.5,
              "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": 95.4,
              "estimated_amount": 57.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.5,
              "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": 96,
              "estimated_amount": 58.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 20.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.5,
              "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": 60.5,
              "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": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.28
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.5,
              "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": 60.5,
              "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": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 59.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 20.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.72
            },
            {
              "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": 60.5,
              "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": 33.28
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 51.43
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            }
          ]
        }
      ]
    },
    {
      "description": "Colonoscopy Thru Stoma W/ Endoscopic Ultrasound",
      "code_information": [
        {
          "code": "PX-75000153",
          "type": "CDM"
        },
        {
          "code": "44406",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5765,
          "discounted_cash": 3747.25,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5499.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5499.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5563.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5453.69
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1787.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3170.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5476.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5499.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5499.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5499.81
            },
            {
              "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": 95.4,
              "estimated_amount": 5499.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5505.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5453.69
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 3885.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5638.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5638.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3170.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5476.75
            },
            {
              "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": 3747.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5505.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5453.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5453.69
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5534.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5563.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5505.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5453.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5453.69
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5476.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5476.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5765,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5563.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5505.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5453.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5453.69
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1787.15
            },
            {
              "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": 3170.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5476.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5534.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5499.81
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5534.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5534.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5505.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5453.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5638.17
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1787.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1787.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1960.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1960.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5534.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1787.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1787.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5499.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5505.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5453.69
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4900.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5563.23
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5476.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5499.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5453.69
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5476.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5638.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5476.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5476.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5476.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3170.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5505.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5505.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5505.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5453.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5453.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5453.69
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5476.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3170.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5499.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5499.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5499.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5563.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5563.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5453.69
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1787.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5476.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5476.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1960.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5534.4
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4900.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1960.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4900.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3170.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5476.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4900.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5499.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5499.81
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1787.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5499.81
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1787.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5499.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5563.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5505.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5453.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5453.69
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5534.4
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4900.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5499.81
            },
            {
              "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": 5073.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1960.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5499.81
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1787.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3170.75
            }
          ]
        }
      ]
    },
    {
      "description": "HC Antiepileptics Nos 1 to 3 So",
      "code_information": [
        {
          "code": "PX-30101079",
          "type": "CDM"
        },
        {
          "code": "80339",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 273,
          "discounted_cash": 177.45,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 260.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 263.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "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": 273,
              "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": 95,
              "estimated_amount": 259.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 150.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 259.35
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.63,
              "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": 273,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 260.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 260.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 263.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 273
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 260.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 184
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.63,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 259.35
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 259.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 266.99
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 259.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 232.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 92.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 260.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 260.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 260.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 259.35
            },
            {
              "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": 177.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 260.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 273,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 259.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 263.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.63
            },
            {
              "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": 273,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 266.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 150.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.63
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.63
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 92.82
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.63
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 92.82
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 150.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 259.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 263.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "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": 240.24
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 232.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.63
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 232.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 260.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 260.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 263.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 232.05
            },
            {
              "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": 95.4,
              "estimated_amount": 260.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 260.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 150.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 259.35
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 259.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 260.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 263.45
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 259.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "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": 273,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 260.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 263.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "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": 150.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 259.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 259.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 92.82
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 232.05
            },
            {
              "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": 273,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 260.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 260.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 266.99
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.63
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 232.05
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.63,
              "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": 150.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 260.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 260.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.63
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 266.99
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 92.82
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 150.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 259.35
            }
          ]
        }
      ]
    },
    {
      "description": "HC Methylphenidate So",
      "code_information": [
        {
          "code": "PX-30101084",
          "type": "CDM"
        },
        {
          "code": "80360",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 459,
          "discounted_cash": 298.35,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 437.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 437.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 442.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 440.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 448.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 459
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 448.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 252.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 142.29
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 156.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 437.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 437.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 437.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 437.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 440.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 440.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 448.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 390.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 390.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 436.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 436.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 156.06
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 156.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 440.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 440.64
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 436.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 437.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 437.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 442.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 440.64
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 142.29,
              "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": 95,
              "estimated_amount": 436.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 448.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 436.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 436.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 440.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 436.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 142.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 440.64
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 309.37
            },
            {
              "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": 459,
              "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": 96,
              "estimated_amount": 440.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 440.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 440.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 252.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 156.06
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 390.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 436.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 390.15
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 142.29,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 142.29
            },
            {
              "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": 459,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 437.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 442.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 440.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 440.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 440.64
            },
            {
              "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": 252.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 142.29
            },
            {
              "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": 298.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 437.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 440.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 440.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 440.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 440.64
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 142.29
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 142.29
            },
            {
              "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": 459,
              "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": 96.5,
              "estimated_amount": 442.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 442.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 440.64
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 142.29
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 440.64
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 390.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 252.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 436.05
            },
            {
              "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": 95.4,
              "estimated_amount": 437.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 437.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 440.64
            },
            {
              "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": 403.92
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 436.05
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 142.29,
              "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": 96,
              "estimated_amount": 440.64
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 440.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 437.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 437.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 437.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 437.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 440.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 440.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 440.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 440.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 442.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 440.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 440.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 440.64
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 459,
              "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": 252.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 252.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 156.06
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 142.29
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 440.64
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 459,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 436.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 252.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 440.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 440.64
            },
            {
              "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": 459,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 440.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 442.94
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 390.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 142.29
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 436.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 437.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 437.89
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 142.29
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 436.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 436.05
            }
          ]
        }
      ]
    },
    {
      "description": "Mrph Alys Ish Quant Semiq Comp Mpx Sendout",
      "code_information": [
        {
          "code": "PX-31000135",
          "type": "CDM"
        },
        {
          "code": "88374",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2231,
          "discounted_cash": 1450.15,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2128.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2128.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2128.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2130.61
            },
            {
              "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": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2119.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1227.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1896.35
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 691.61,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2128.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2130.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2130.61
            },
            {
              "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": 2231,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2119.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1227.05
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 691.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2119.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 758.54
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 691.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2128.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2128.37
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 691.61
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2141.76
            },
            {
              "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": 1963.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2128.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "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": 2231,
              "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": 1227.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 691.61
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 758.54
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2141.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 691.61
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 758.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2119.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2128.37
            },
            {
              "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": "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 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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 691.61
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2141.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2181.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1227.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1227.05
            },
            {
              "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": 2231,
              "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": 95.4,
              "estimated_amount": 2128.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2128.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2152.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2152.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2152.92
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 691.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2128.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2128.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2152.92
            },
            {
              "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 HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2141.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2181.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1227.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2119.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2181.92
            },
            {
              "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": 1450.15
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2141.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2130.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 758.54
            },
            {
              "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": 2231,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2128.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2152.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2130.61
            },
            {
              "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": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2231,
              "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": 95,
              "estimated_amount": 2119.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2128.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2128.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2141.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2181.92
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1896.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2119.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2119.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1896.35
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 691.61,
              "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": 95.5,
              "estimated_amount": 2130.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2130.61
            },
            {
              "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 NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 691.61,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 691.61
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2141.76
            },
            {
              "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": 2231,
              "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": 95.4,
              "estimated_amount": 2128.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2152.92
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1896.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2119.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2119.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 691.61
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 691.61
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2119.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1227.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2119.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2119.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2128.37
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 1503.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2128.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2152.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2130.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2130.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1896.35
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2119.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2130.61
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2231
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 758.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1896.35
            }
          ],
          "minimum": 589.69,
          "maximum": 589.69
        }
      ]
    },
    {
      "description": "Hspc Room and Bed Milcrest Nursing and Rehab Center",
      "code_information": [
        {
          "code": "PX-65900135",
          "type": "CDM"
        },
        {
          "code": "T2046",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 275.65,
          "discounted_cash": 179.17,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 262.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 262.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 266
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 266
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 275.65,
              "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": 275.65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 261.87
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 85.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 234.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 264.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 262.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 263.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 275.65,
              "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": 234.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 151.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 261.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 261.87
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 261.87
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 264.62
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 93.72
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 85.45
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 264.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 266
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 85.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 264.62
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 85.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 262.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 266
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 263.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 269.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 151.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 269.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 275.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 261.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 262.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 262.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 275.65,
              "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": 95,
              "estimated_amount": 261.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 269.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 85.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 93.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 263.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 275.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 85.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 275.65,
              "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": 95,
              "estimated_amount": 261.87
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 261.87
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 234.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 85.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 269.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 263.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 263.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 275.65,
              "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": 275.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 85.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 264.62
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 264.62
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 261.87
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 234.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 261.87
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 85.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 93.72
            },
            {
              "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": 95.4,
              "estimated_amount": 262.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 263.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 275.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 262.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 262.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 275.65,
              "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": 275.65,
              "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": 242.57
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 93.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 151.61
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 85.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 262.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 262.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 262.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 263.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 275.65,
              "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": 151.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 262.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 262.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 262.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 266
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 275.65,
              "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": 275.65,
              "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": 95,
              "estimated_amount": 261.87
            },
            {
              "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": 151.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 263.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 263.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 275.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 264.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 151.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 261.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 262.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 266
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 261.87
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 93.72
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 234.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 89.72,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 89.72,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 266
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 275.65,
              "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": 275.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 86.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 262.97
            },
            {
              "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": 275.65,
              "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": 151.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 262.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 263.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 275.65,
              "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": 95,
              "estimated_amount": 261.87
            }
          ]
        }
      ]
    },
    {
      "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": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.11
            },
            {
              "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": 95.4,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.11
            },
            {
              "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": 95,
              "estimated_amount": 1.1
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.11
            },
            {
              "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": "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": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 1.16,
              "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": 1.16,
              "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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 97.8,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.64
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.36,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.12
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.12
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 97.8,
              "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": 0.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.11
            },
            {
              "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": 0.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 1.02
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.36,
              "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": 97.8,
              "estimated_amount": 1.13
            },
            {
              "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": "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": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.11
            },
            {
              "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/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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 0.64
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.36,
              "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": 95.4,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.1
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.11
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 1.16,
              "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": 95,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.99
            },
            {
              "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": 1.16,
              "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": 95.5,
              "estimated_amount": 1.11
            },
            {
              "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 NAVIGATE [625280]",
              "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": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.1
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.11
            },
            {
              "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": "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 MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.11
            },
            {
              "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": 1.16,
              "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": 95,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.11
            },
            {
              "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.1
            }
          ]
        }
      ]
    },
    {
      "description": "Gloves Nitrile Powder-Free Esteem Xp Med Extended Cuff",
      "code_information": [
        {
          "code": "PX-CHA1N8852XPB",
          "type": "CDM"
        },
        {
          "code": "A927",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.14,
          "discounted_cash": 0.09,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.13
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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": 94.6,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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": 96,
              "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": 95,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "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": 95.5,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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": 95,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 94.6,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.08
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.13
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.05
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.13
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.12
            },
            {
              "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": 0.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 0.14
            },
            {
              "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": 0.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.13
            },
            {
              "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": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 97.8,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            }
          ]
        }
      ]
    },
    {
      "description": "Cyp2d6 Gen Cyp2d7-2d6 Hybrid Sendout",
      "code_information": [
        {
          "code": "PX-30401442",
          "type": "CDM"
        },
        {
          "code": "0073U",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 7478,
          "discounted_cash": 4860.7,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7134.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7216.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "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": 6580.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4112.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7104.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2318.18
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6356.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2542.52
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2318.18
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2318.18
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7178.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7134.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7141.49
            },
            {
              "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": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6356.3
            },
            {
              "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": 4860.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4112.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7104.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7134.01
            },
            {
              "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": 95.4,
              "estimated_amount": 7134.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7134.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7134.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7141.49
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7178.88
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7104.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7216.27
            },
            {
              "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": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2318.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4112.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2318.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7313.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4112.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7104.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7104.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7141.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2318.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7134.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7216.27
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 5040.17
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7178.88
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6356.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7134.01
            },
            {
              "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": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "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": 4112.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7104.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7104.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7104.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6356.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7178.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 7478
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6356.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7141.49
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2318.18
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2318.18
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 7134.01
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 96.5,
              "estimated_amount": 7216.27
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 7134.01
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 7134.01
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 95.5,
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            },
            {
              "payer_name": "UHC [625]",
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              "estimated_amount": 1690.91
            },
            {
              "payer_name": "BEECHSTREET [350]",
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              "standard_charge_percentage": 96,
              "estimated_amount": 7178.88
            },
            {
              "payer_name": "FIRST HEALTH [408]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 7104.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 4112.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 7104.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
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              "standard_charge_percentage": 34,
              "estimated_amount": 2542.52
            },
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              "payer_name": "HUMANA MANAGED MEDICARE [464]",
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              "standard_charge_percentage": 34,
              "estimated_amount": 2542.52
            },
            {
              "payer_name": "HUMANA [465]",
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              "standard_charge_percentage": 96,
              "estimated_amount": 7178.88
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 7134.01
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 7134.01
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 96.5,
              "estimated_amount": 7216.27
            },
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              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 95.5,
              "estimated_amount": 7141.49
            },
            {
              "payer_name": "ANTHEM [335]",
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              "standard_charge_percentage": 97.8,
              "estimated_amount": 7313.48
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 7134.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
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              "standard_charge_percentage": 95.5,
              "estimated_amount": 7141.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
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              "standard_charge_percentage": 95.5,
              "estimated_amount": 7141.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
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              "standard_charge_percentage": 95.5,
              "estimated_amount": 7141.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
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              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2318.18
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 7104.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 7134.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 7134.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
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              "standard_charge_percentage": 96.5,
              "estimated_amount": 7216.27
            },
            {
              "payer_name": "UHC [625]",
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              "estimated_amount": 1690.91
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 4112.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 7104.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
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              "standard_charge_percentage": 34,
              "estimated_amount": 2542.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 7134.01
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
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              "standard_charge_percentage": 96,
              "estimated_amount": 7178.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 7104.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
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              "standard_charge_percentage": 97.8,
              "estimated_amount": 7313.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
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              "standard_charge_percentage": 34,
              "estimated_amount": 2542.52
            },
            {
              "payer_name": "UHC [625]",
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              "estimated_amount": 1690.91
            },
            {
              "payer_name": "UHC [625]",
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              "estimated_amount": 1690.91
            },
            {
              "payer_name": "UHC [625]",
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              "estimated_amount": 1690.91
            },
            {
              "payer_name": "AHPO [305]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 7104.1
            },
            {
              "payer_name": "CIGNA [370]",
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              "estimated_amount": 7216.27
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 95.5,
              "estimated_amount": 7141.49
            },
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              "payer_name": "THE HEALTH PLAN [265]",
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              "estimated_amount": 2318.18
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              "payer_name": "ANTHEM [335]",
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              "standard_charge_percentage": 97.8,
              "estimated_amount": 7313.48
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 7134.01
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            }
          ],
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          "maximum": 1690.91
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      ]
    },
    {
      "description": "Cyp2d6 5' Gene Dup/Mlt Sendout",
      "code_information": [
        {
          "code": "PX-30401444",
          "type": "CDM"
        },
        {
          "code": "0075U",
          "type": "CPT"
        }
      ],
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        {
          "setting": "outpatient",
          "gross_charge": 9256,
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              "payer_name": "AETNA [310]",
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              "estimated_amount": 8830.22
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            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 8830.22
            },
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              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 95.5,
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            },
            {
              "payer_name": "MMO [485]",
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              "estimated_amount": 8839.48
            },
            {
              "payer_name": "UHC [625]",
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              "estimated_amount": 1690.91
            },
            {
              "payer_name": "UHC [625]",
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              "estimated_amount": 1690.91
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
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              "standard_charge_percentage": 31,
              "estimated_amount": 2869.36
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              "payer_name": "CIGNA [370]",
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              "estimated_amount": 8932.04
            },
            {
              "payer_name": "UHC [625]",
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              "estimated_amount": 1690.91
            },
            {
              "payer_name": "GREATWEST [550]",
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              "standard_charge_percentage": 96,
              "estimated_amount": 8885.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 8793.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 8793.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
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              "standard_charge_percentage": 34,
              "estimated_amount": 3147.04
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 8830.22
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            {
              "payer_name": "AETNA [310]",
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              "estimated_amount": 8830.22
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            {
              "payer_name": "CIGNA [370]",
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              "estimated_amount": 8932.04
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
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              "estimated_amount": 8793.2
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            {
              "payer_name": "CIGNA [370]",
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              "estimated_amount": 8932.04
            },
            {
              "payer_name": "UHC [625]",
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              "estimated_amount": 1690.91
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            {
              "payer_name": "ANTHEM [335]",
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              "estimated_amount": 9052.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 5090.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
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              "estimated_amount": 2869.36
            },
            {
              "payer_name": "HEALTHLINK [443]",
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              "standard_charge_percentage": 96,
              "estimated_amount": 8885.76
            },
            {
              "payer_name": "ANTHEM [335]",
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              "standard_charge_percentage": 97.8,
              "estimated_amount": 9052.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 8793.2
            },
            {
              "payer_name": "AETNA [310]",
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              "estimated_amount": 8830.22
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "payer_name": "UHC [625]",
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              "estimated_amount": 1690.91
            },
            {
              "payer_name": "COFINITY [407]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 7867.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 5090.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 8793.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
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              "standard_charge_percentage": 31,
              "estimated_amount": 2869.36
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3147.04
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 8830.22
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 8830.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8839.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8839.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8830.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8932.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3147.04
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7867.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2869.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8830.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8830.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8839.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8885.76
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8793.2
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8885.76
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2869.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8839.48
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8793.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8830.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8839.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9052.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5090.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5090.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8793.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2869.36
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7867.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7867.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8830.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8839.48
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9052.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8793.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3147.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8932.04
            },
            {
              "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": 8145.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 9256
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8839.48
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2869.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8885.76
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7867.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5090.8
            },
            {
              "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": 5090.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8793.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8793.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8830.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8830.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8932.04
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8885.76
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2869.36
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8793.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8830.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8830.22
            },
            {
              "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": 95.4,
              "estimated_amount": 8830.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8830.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "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": "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 POS/EPO [625220]",
              "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": 67.4,
              "estimated_amount": 6238.54
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2869.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5090.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2869.36
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3147.04
            },
            {
              "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": 6016.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8885.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8932.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8839.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8793.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8793.2
            }
          ],
          "minimum": 1690.91,
          "maximum": 1690.91
        }
      ]
    },
    {
      "description": "HC Hpa 6 Genotyping Arc",
      "code_information": [
        {
          "code": "PX-30401452",
          "type": "CDM"
        },
        {
          "code": "81110",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 197,
          "discounted_cash": 128.05,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 187.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 189.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 108.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 61.07
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 187.15
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 61.07,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 187.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 189.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 61.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 167.45
            },
            {
              "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": 128.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 122.22,
              "estimated_amount": 122.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 187.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 187.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 189.12
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 61.07
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 187.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 187.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 189.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 189.12
            },
            {
              "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": 173.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 187.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 66.98
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 189.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 190.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 192.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 108.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 66.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 187.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 187.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 189.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 189.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 189.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 189.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 189.12
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 108.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 108.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 187.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 187.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 187.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 190.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 190.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 189.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 189.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 189.12
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 187.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 192.67
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 66.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 190.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 189.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 189.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 187.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 189.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 189.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 108.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 167.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 167.45
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 61.07,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 187.15
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 189.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 187.94
            },
            {
              "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": 95.4,
              "estimated_amount": 187.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 187.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 190.11
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 167.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 192.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 192.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 108.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 187.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 187.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 66.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 187.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 189.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 189.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 189.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 189.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 189.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 189.12
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 167.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 187.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 189.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 187.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 190.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 190.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 189.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 189.12
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 61.07,
              "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": 95,
              "estimated_amount": 187.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 187.15
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 61.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 108.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 61.07
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 61.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 187.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 187.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 189.12
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 61.07
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 61.07
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 61.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 187.15
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 61.07
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 189.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 189.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 189.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 189.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 187.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 66.98
            }
          ],
          "minimum": 122.22,
          "maximum": 122.22
        }
      ]
    },
    {
      "description": "2 Pc Ctf Std Wear Up to 2 3-8 in Esteem",
      "code_information": [
        {
          "code": "PX-CHCV405458",
          "type": "CDM"
        },
        {
          "code": "A4414",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 7.97,
          "discounted_cash": 5.18,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 4.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.97,
              "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": 95,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 6.77
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.71
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.71
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.61
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.61
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 7.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.97,
              "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": 95.4,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.97,
              "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": 7.97,
              "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": 97.8,
              "estimated_amount": 7.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.38
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.71
            },
            {
              "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": 7.97,
              "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": 6.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.77
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.97,
              "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": 96,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.79
            },
            {
              "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": 4.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.97,
              "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": 7.97,
              "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": 7.97,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.69
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7.97,
              "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": 96,
              "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": 95,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.47,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.47,
              "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": 95.4,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.97,
              "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": 7.97,
              "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": 7.97,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.38
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.47,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.97,
              "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": 7.97,
              "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": 7.97,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.65
            },
            {
              "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": 7.01
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.97,
              "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": 95.4,
              "estimated_amount": 7.6
            },
            {
              "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": 7.97,
              "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": 7.97,
              "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": 6.77
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.71
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 7.97,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.47
            }
          ]
        }
      ]
    },
    {
      "description": "Gauze Sponge Sterile Curity Amd 2 in X 2 in 12-Ply",
      "code_information": [
        {
          "code": "PX-CHKN2506",
          "type": "CDM"
        },
        {
          "code": "A6222",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.06,
          "discounted_cash": 0.04,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.06,
              "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": 0.06,
              "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": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.06,
              "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": 96,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.06
            },
            {
              "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": 0.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "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": 95.4,
              "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": 0.06,
              "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": 0.06,
              "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": 0.03
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.06,
              "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": 0.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.06,
              "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": 95.4,
              "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": 0.06,
              "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": 96,
              "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": 0.06,
              "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": 0.06,
              "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": 0.06,
              "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": 0.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.05
            },
            {
              "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": "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": 0.06,
              "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": 0.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.06,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02,
              "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": 0.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.06,
              "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": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "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": 96.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.06,
              "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": 0.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.05
            },
            {
              "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": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.06,
              "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": 0.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 0.06
            },
            {
              "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": 0.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.02
            }
          ]
        }
      ]
    },
    {
      "description": "1 Pc Pre Cut Standard Wear 1 in Sensura",
      "code_information": [
        {
          "code": "PX-CHCO15522",
          "type": "CDM"
        },
        {
          "code": "A4424",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6.38,
          "discounted_cash": 4.15,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.38,
              "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": 96,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.38,
              "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": 6.38,
              "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": 97.8,
              "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": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.38,
              "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": 96,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98
            },
            {
              "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": 5.61
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.06
            },
            {
              "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": 6.38,
              "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": 5.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.38,
              "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": 6.38,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.38,
              "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": 6.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "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": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.38,
              "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": 6.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 6.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.38,
              "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": 6.38,
              "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": 6.38,
              "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": 96,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.42
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.24
            },
            {
              "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": 3.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6.38,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.38,
              "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": 97.8,
              "estimated_amount": 6.24
            }
          ]
        }
      ]
    },
    {
      "description": "Hydrofiber Foam Adhesive Aquacel 4 in X 4 In",
      "code_information": [
        {
          "code": "PX-CHCV420680",
          "type": "CDM"
        },
        {
          "code": "A6212",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6.33,
          "discounted_cash": 4.11,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.96
            },
            {
              "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": 3.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.33,
              "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": 6.33,
              "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": 96,
              "estimated_amount": 6.08
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.01
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 5.38
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 6.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.33,
              "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": 6.33,
              "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": 6.33,
              "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": 3.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.01
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.96,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.04
            },
            {
              "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": 95.4,
              "estimated_amount": 6.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.33,
              "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": 6.33,
              "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": 96,
              "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": 95,
              "estimated_amount": 6.01
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.33,
              "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": 97.8,
              "estimated_amount": 6.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.04
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.01
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 3.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 5.38
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 6.05
            },
            {
              "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": 6.33,
              "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": 95,
              "estimated_amount": 6.01
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.96,
              "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": 5.57
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.38
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 6.33
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.96,
              "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": 95.4,
              "estimated_amount": 6.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.33,
              "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": 6.33,
              "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": 95,
              "estimated_amount": 6.01
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.33,
              "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": 96,
              "estimated_amount": 6.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.05
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6.33,
              "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": 3.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.01
            },
            {
              "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": 6.33,
              "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": 95,
              "estimated_amount": 6.01
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.38
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.33,
              "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": 3.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 97.8,
              "estimated_amount": 6.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.01
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.33,
              "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": 95,
              "estimated_amount": 6.01
            }
          ]
        }
      ]
    },
    {
      "description": "\"Foam Drsg Adhesive Border Kerrafoam 4\"\" X 8\"\"\"",
      "code_information": [
        {
          "code": "PX-CHIM87CWL1012",
          "type": "CDM"
        },
        {
          "code": "A6212",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 10.4,
          "discounted_cash": 6.76,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.4,
              "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": 10.4,
              "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": 10.4,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 97.8,
              "estimated_amount": 10.17
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.88
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.4,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.22
            },
            {
              "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": 10.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.92
            },
            {
              "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": 95.4,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.93
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10.17
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 5.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.4,
              "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": 10.4,
              "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": 95,
              "estimated_amount": 9.88
            },
            {
              "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": 10.4,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.4,
              "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": 95,
              "estimated_amount": 9.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.4,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.72
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.4,
              "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": 5.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.88
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.22,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.4,
              "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": 10.4,
              "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": 96,
              "estimated_amount": 9.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.04
            },
            {
              "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": 10.4,
              "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": 10.4,
              "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": 10.4,
              "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": 96,
              "estimated_amount": 9.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.72
            },
            {
              "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": 5.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 10.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.88
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.4,
              "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": 95,
              "estimated_amount": 9.88
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.88
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.93
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.4,
              "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": 5.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.4,
              "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": 95,
              "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": 8.84
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 8.84
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.22,
              "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": 5.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.04
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.22,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 9.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.4,
              "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": 96,
              "estimated_amount": 9.98
            },
            {
              "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": 9.15
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.98
            }
          ]
        }
      ]
    },
    {
      "description": "Foam Drsg Adhesive Border Allevyn Gentle 5 in X 5 In",
      "code_information": [
        {
          "code": "PX-CHUN66800279",
          "type": "CDM"
        },
        {
          "code": "A6212",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8.9,
          "discounted_cash": 5.78,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.9,
              "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": 8.9,
              "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": 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": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.9,
              "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": 7.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.03
            },
            {
              "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": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.9,
              "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": 96,
              "estimated_amount": 8.54
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.9,
              "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": 97.8,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.9,
              "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": 96,
              "estimated_amount": 8.54
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.9,
              "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": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.9,
              "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": 8.9,
              "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": 8.9,
              "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": 8.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.03
            },
            {
              "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": 8.9,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.54
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8.9,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.54
            },
            {
              "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": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.9,
              "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": 8.9,
              "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": 4.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.9,
              "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": 8.9,
              "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": 8.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.59
            },
            {
              "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": 7.83
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 8.9
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.54
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.59
            },
            {
              "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": 8.9,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76
            }
          ]
        }
      ]
    },
    {
      "description": "Underpad 23 in X 36 in Durasorb, Fluff Core, Blue",
      "code_information": [
        {
          "code": "PX-CHKN1093",
          "type": "CDM"
        },
        {
          "code": "A4554",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.38,
          "discounted_cash": 0.25,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.36
            },
            {
              "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": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.36
            },
            {
              "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": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.32
            },
            {
              "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": 0.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 0.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.36
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.37
            },
            {
              "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": "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 HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "HUMANA [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": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 0.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.37
            },
            {
              "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": "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/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": "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.32
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.38,
              "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": 67.4,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.38,
              "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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.36
            },
            {
              "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": "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 OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "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": 0.21
            },
            {
              "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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 97.8,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "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": 0.38,
              "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": 96,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.32
            }
          ]
        }
      ]
    },
    {
      "description": "Neuro CSF Prion Prtn Qual Sendout",
      "code_information": [
        {
          "code": "PX-30101440",
          "type": "CDM"
        },
        {
          "code": "0035U",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3851,
          "discounted_cash": 2503.15,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3673.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3673.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3677.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2028.71,
              "estimated_amount": 2028.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2028.71,
              "estimated_amount": 2028.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2028.71,
              "estimated_amount": 2028.71
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1193.81,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3658.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3658.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1193.81
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1309.34
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3696.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2028.71,
              "estimated_amount": 2028.71
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3696.96
            },
            {
              "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": 3851,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1309.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3273.35
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1193.81,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1193.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3673.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3716.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3677.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3677.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2028.71,
              "estimated_amount": 2028.71
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3851,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1193.81
            },
            {
              "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": 3851,
              "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": 97.8,
              "estimated_amount": 3766.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3658.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3658.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3716.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2028.71,
              "estimated_amount": 2028.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2028.71,
              "estimated_amount": 2028.71
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3696.96
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3696.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2118.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1309.34
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3658.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3716.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2028.71,
              "estimated_amount": 2028.71
            },
            {
              "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": 3851,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2118.05
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1193.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3677.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2028.71,
              "estimated_amount": 2028.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2028.71,
              "estimated_amount": 2028.71
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1193.81
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1193.81,
              "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": 3851,
              "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": 95.4,
              "estimated_amount": 3673.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3673.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2028.71,
              "estimated_amount": 2028.71
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1193.81
            },
            {
              "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": 3388.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3673.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2028.71,
              "estimated_amount": 2028.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2118.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3658.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3658.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3273.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3696.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3658.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1193.81
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3273.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3673.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3677.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3677.71
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1193.81
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3273.35
            },
            {
              "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": 3851,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3673.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3673.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3677.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3673.85
            },
            {
              "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": 95.4,
              "estimated_amount": 3673.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3851
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3766.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2118.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3716.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3716.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2028.71,
              "estimated_amount": 2028.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2028.71,
              "estimated_amount": 2028.71
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3658.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2118.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3658.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3673.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3673.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3716.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3677.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2028.71,
              "estimated_amount": 2028.71
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3696.96
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3658.45
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3273.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3658.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1193.81
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1309.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1309.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3766.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3766.28
            },
            {
              "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": 2118.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1193.81
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3273.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3673.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3673.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3716.22
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 2595.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3673.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2118.05
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3696.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3673.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3673.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3677.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3677.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2028.71,
              "estimated_amount": 2028.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2028.71,
              "estimated_amount": 2028.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3658.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3658.45
            },
            {
              "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": 2503.15
            }
          ],
          "minimum": 2028.71,
          "maximum": 2028.71
        }
      ]
    },
    {
      "description": "Gauze Drain Sponge Sterile 4 X 4 Non-Woven 6 Ply 2 Pak",
      "code_information": [
        {
          "code": "PX-CHDUM84916",
          "type": "CDM"
        },
        {
          "code": "A6402",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.13,
          "discounted_cash": 0.08,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.13,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 0.11
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "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": 95.5,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.13,
              "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": 0.13,
              "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": 95,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.13,
              "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": 96,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.13,
              "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": 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": 0.07
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.12
            },
            {
              "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": 0.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.13,
              "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": 0.13,
              "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": 0.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.12
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.11
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.13,
              "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": 0.13,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.12
            },
            {
              "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": 95.4,
              "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": 0.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 96,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.12
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.13,
              "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": 0.13,
              "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": 0.11
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.13,
              "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": 95,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04,
              "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": 0.13,
              "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": 0.13,
              "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": 96,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.13
            },
            {
              "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": 0.13,
              "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": 95.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.13,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "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": 0.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.07
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Ctf Std Wear Up to 2 1-2 in Sur-Fit",
      "code_information": [
        {
          "code": "PX-CHCV401577",
          "type": "CDM"
        },
        {
          "code": "A4415",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8.02,
          "discounted_cash": 5.21,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.02,
              "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": 8.02,
              "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": 8.02,
              "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": 97.8,
              "estimated_amount": 7.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.62
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.65
            },
            {
              "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": 95.4,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.62
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.82
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.02,
              "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": 95.5,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.02,
              "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": 8.02,
              "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": 95,
              "estimated_amount": 7.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.62
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.73
            },
            {
              "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": 5.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.02,
              "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": 95,
              "estimated_amount": 7.62
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.02,
              "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": 96,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.62
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.02,
              "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": 8.02,
              "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": 97.8,
              "estimated_amount": 7.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.62
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.62
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.82
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.62
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.73
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.74
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.66
            },
            {
              "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": 8.02,
              "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": 67.4,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 8.02,
              "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": 8.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.49
            },
            {
              "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": 7.06
            },
            {
              "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": 4.41
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.02,
              "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": 96,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.74
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.84
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.73
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.02,
              "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": 96,
              "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": 97.8,
              "estimated_amount": 7.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.82
            }
          ]
        }
      ]
    },
    {
      "description": "Prevail Bladder Control Pads 13\"\"",
      "code_information": [
        {
          "code": "PX-CH1QPV8121",
          "type": "CDM"
        },
        {
          "code": "A4520",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.35,
          "discounted_cash": 0.23,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 0.19
            },
            {
              "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": 0.19
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 0.35,
              "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": 96,
              "estimated_amount": 0.34
            },
            {
              "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": "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 0.3
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.33
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.19
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.34
            },
            {
              "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": "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": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.33
            },
            {
              "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": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.33
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 97.8,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.33
            },
            {
              "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": "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": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.11
            },
            {
              "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": "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 MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "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": 96,
              "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": 95,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.34
            },
            {
              "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": "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 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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.11
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.35,
              "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": 0.23
            },
            {
              "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": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.33
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.11
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.11
            }
          ]
        }
      ]
    },
    {
      "description": "1 Pc Pre Cut Ext Wear Cvx Uro 1in Xpro",
      "code_information": [
        {
          "code": "PX-CHCO11817",
          "type": "CDM"
        },
        {
          "code": "A4393",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 12.15,
          "discounted_cash": 7.9,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 6.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.59
            },
            {
              "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": 12.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.33
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.15,
              "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": 12.15,
              "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": 96.5,
              "estimated_amount": 11.72
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.68
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.77
            },
            {
              "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": 7.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.15,
              "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": 12.15,
              "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": 12.15,
              "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": 95,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 12.15
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.15,
              "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": 12.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.15,
              "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": 12.15,
              "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": 96,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.15,
              "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": 12.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.72
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.33
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 97.8,
              "estimated_amount": 11.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.68
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.15,
              "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": 12.15,
              "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": 6.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.15,
              "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": 10.33
            },
            {
              "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": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.15,
              "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": 6.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.72
            },
            {
              "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": 10.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.6
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 8.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.15,
              "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": 96,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.13
            }
          ]
        }
      ]
    },
    {
      "description": "Tubular Drsg Tubigrip Size E Lg Ankles 1 Each = 10 Yards",
      "code_information": [
        {
          "code": "PX-CHSC1448",
          "type": "CDM"
        },
        {
          "code": "A6457",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 85.66,
          "discounted_cash": 55.68,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 81.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 81.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 81.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 85.66,
              "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": 85.66,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 81.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 72.81
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 29.12
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 82.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 81.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 82.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 82.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 81.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 85.66,
              "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": 95,
              "estimated_amount": 81.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 72.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 81.38
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 81.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 81.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 81.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 81.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 85.66,
              "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": 95.4,
              "estimated_amount": 81.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 81.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.11
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 29.12
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 82.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 81.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 85.66,
              "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": 85.66,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 82.23
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 82.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 81.72
            },
            {
              "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": 95.4,
              "estimated_amount": 81.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 81.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 81.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 85.66,
              "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": 95.4,
              "estimated_amount": 81.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 82.66
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.55
            },
            {
              "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": 47.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 83.78
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 81.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 81.72
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 81.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 81.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 85.66,
              "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": 95,
              "estimated_amount": 81.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 82.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 85.66,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 83.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 81.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 81.38
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 81.38
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 82.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 81.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 29.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 81.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 82.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 85.66,
              "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": 85.66,
              "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": 97.8,
              "estimated_amount": 83.78
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 29.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 82.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 85.66,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 82.23
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 82.23
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 81.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 81.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 81.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 81.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 85.66,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.55,
              "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": 75.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 81.38
            },
            {
              "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": 85.66,
              "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": 95.4,
              "estimated_amount": 81.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 81.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 85.66,
              "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": 85.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 81.38
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 29.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72.81
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 81.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 85.66,
              "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": 95.4,
              "estimated_amount": 81.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 85.66,
              "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": 85.66,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 82.66
            },
            {
              "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": 85.66,
              "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": 85.66,
              "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": 72.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 83.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.11
            }
          ]
        }
      ]
    },
    {
      "description": "Tubular Drsg Tubigrip Size F Lg Knees Med Thighs",
      "code_information": [
        {
          "code": "PX-CHSM1438",
          "type": "CDM"
        },
        {
          "code": "A6457",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 87.13,
          "discounted_cash": 56.63,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 83.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 83.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 83.12
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 87.13,
              "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": 76.67
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 74.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 82.77
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 29.62
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 29.62
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 29.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 83.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 83.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 87.13,
              "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": 47.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 82.77
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 74.06
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 85.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 82.77
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 87.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 83.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 83.21
            },
            {
              "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": 87.13,
              "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": 87.13,
              "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": 87.13,
              "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": 87.13,
              "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": 95,
              "estimated_amount": 82.77
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 87.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 82.77
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 29.62
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 82.77
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 74.06
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 29.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 83.12
            },
            {
              "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": 95.4,
              "estimated_amount": 83.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 87.13,
              "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": 87.13,
              "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": 95.4,
              "estimated_amount": 83.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 83.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 84.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 84.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 83.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 83.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 87.13,
              "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": 96,
              "estimated_amount": 83.64
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 82.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 83.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 85.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 82.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 82.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 82.77
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 74.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 83.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 84.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 84.08
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.01
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 83.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 83.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 87.13,
              "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": 96,
              "estimated_amount": 83.64
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 82.77
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 82.77
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 82.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 83.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 83.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 83.21
            },
            {
              "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": 87.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 82.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 83.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 84.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 84.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 87.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 83.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 87.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 85.21
            },
            {
              "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": 47.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 83.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 87.13,
              "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": 87.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 83.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 84.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 83.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 87.13,
              "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": 97.8,
              "estimated_amount": 85.21
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.01
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 83.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 87.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.01
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 74.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 83.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 83.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 87.13,
              "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": 87.13,
              "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": 47.92
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.64
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.01
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 83.64
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 8.71,
          "discounted_cash": 5.66,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.71,
              "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": 8.71,
              "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": 4.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.79
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 95.4,
              "estimated_amount": 8.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.71,
              "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": 8.71,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.27
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.36
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.36
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.71,
              "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": 95.5,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 4.79
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.27
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.71,
              "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": 8.71,
              "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": 7.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.27
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.71,
              "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": 95,
              "estimated_amount": 8.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.71,
              "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": 96,
              "estimated_amount": 8.36
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.71,
              "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": 97.8,
              "estimated_amount": 8.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.79
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.71,
              "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": 8.71,
              "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": 95,
              "estimated_amount": 8.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 8.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.71,
              "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": 7.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.71,
              "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": 8.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.27
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.36
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.36
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.79
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 7.66
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.71,
              "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": 8.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.36
            },
            {
              "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": 8.71,
              "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": 95,
              "estimated_amount": 8.27
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "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": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 40587.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 40587.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 40587.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 40630.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 40247.57
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13188.95
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13188.95
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 40417.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36163.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 40417.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 40417.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 40843.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 41055.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 40630.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 40247.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 40247.57
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13188.95
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 40417.75
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 40417.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13188.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 40587.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 41055.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 40630.48
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 28675.33
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 14465.3
            },
            {
              "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 MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 14465.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 14465.3
            },
            {
              "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": "HUMANA [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": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 40630.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 40630.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 40247.57
            },
            {
              "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": 23399.75
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23399.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 40843.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 40587.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 41055.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 40247.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 40247.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 40247.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 40247.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 40247.57
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 40843.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 40587.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 40587.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 40417.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 14465.3
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 40843.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 40247.57
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13188.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 40587.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 40587.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 41055.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 40630.48
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 40417.75
            },
            {
              "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": 95.4,
              "estimated_amount": 40587.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 40587.93
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 40843.2
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 40417.75
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 40417.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 40417.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 40417.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 41609.01
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13188.95
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 14465.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 40587.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 41055.93
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 40843.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 41609.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 40417.75
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13188.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 40630.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 40247.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 40247.57
            },
            {
              "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": 37439.6
            },
            {
              "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": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 40587.93
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 41055.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 40630.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 40630.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 40247.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 40247.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 40247.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 40417.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 40587.93
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13188.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 41609.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 41609.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23399.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 40417.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13188.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 40587.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 40587.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 40247.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 40247.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 40587.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 41055.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 40630.48
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 40843.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 40587.93
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13188.95
            }
          ]
        }
      ]
    },
    {
      "description": "Intermittent Catheter Coude 14 Fr Vapro Hydrophilic",
      "code_information": [
        {
          "code": "PX-CHHO73144",
          "type": "CDM"
        },
        {
          "code": "A4352",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 7.98,
          "discounted_cash": 5.19,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.61
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.47
            },
            {
              "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": 95.4,
              "estimated_amount": 7.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.62
            },
            {
              "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": "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": "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 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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.58
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 4.39
            },
            {
              "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": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 7.98,
              "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": 96,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.62
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.58
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.71
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.61
            },
            {
              "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": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.78
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.71
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.61
            },
            {
              "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.5,
              "estimated_amount": 7.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.62
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.8
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.58
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.8
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.58
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.61
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 5.38
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.58
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 97.8,
              "estimated_amount": 7.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.62
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.58
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 7.98,
              "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": 95,
              "estimated_amount": 7.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 7.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.39
            },
            {
              "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 HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.7
            },
            {
              "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": "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.58
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.58
            },
            {
              "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": 4.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.58
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.61
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.62
            },
            {
              "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 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": "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": "HUMANA [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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 7.98,
              "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": 7.98,
              "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": 96,
              "estimated_amount": 7.66
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.66
            }
          ]
        }
      ]
    },
    {
      "description": "Attachment Device Foley Stat Lock",
      "code_information": [
        {
          "code": "PX-CHVEMP0120",
          "type": "CDM"
        },
        {
          "code": "A9900",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 24.04,
          "discounted_cash": 15.63,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22.93
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.17
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.17
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 23.08
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 23.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.17
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.04,
              "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": 24.04,
              "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": 24.04,
              "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": 96,
              "estimated_amount": 23.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 23.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.43
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.04,
              "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": 24.04,
              "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": 24.04,
              "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": 20.43
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.43
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.04,
              "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": 13.22
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 23.08
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 23.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22.96
            },
            {
              "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": 24.04,
              "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": 24.04,
              "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": 24.04,
              "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": 96,
              "estimated_amount": 23.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 24.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22.84
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.17
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 23.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.04,
              "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": 13.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.22
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22.84
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.04,
              "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": 97.8,
              "estimated_amount": 23.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22.84
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.04,
              "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": 67.4,
              "estimated_amount": 16.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 23.08
            },
            {
              "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": 21.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22.93
            },
            {
              "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": 95.4,
              "estimated_amount": 22.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.04,
              "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": 95,
              "estimated_amount": 22.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22.84
            },
            {
              "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": 15.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 23.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22.93
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.45
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.45
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.45
            }
          ]
        }
      ]
    },
    {
      "description": "Unpinning Ice Catheter",
      "code_information": [
        {
          "code": "PX-62400212",
          "type": "CDM"
        },
        {
          "code": "C1759",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1,
          "discounted_cash": 0.65,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "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": "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 [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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": 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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "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 MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "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": "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": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "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": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 0.67
            },
            {
              "payer_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": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "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": 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": "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": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "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": "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 MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "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": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "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 CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "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": 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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": "HUMANA [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": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "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 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 STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "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/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "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": 0.55
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "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": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            }
          ]
        }
      ]
    },
    {
      "description": "Hydrocolloid Drsg Tegaderm 2 3-4 in X 3 1-2 in Oval",
      "code_information": [
        {
          "code": "PX-CH3M90001",
          "type": "CDM"
        },
        {
          "code": "A6237",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6.89,
          "discounted_cash": 4.48,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 96,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.57
            },
            {
              "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": 6.89,
              "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": 96,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.58
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.89,
              "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": 6.89,
              "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": 6.89,
              "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": 6.89
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.89,
              "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": 6.89,
              "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": 6.89,
              "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": 6.89,
              "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": 95,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 6.89,
              "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": 3.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.86
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 6.89,
              "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": 95,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.89,
              "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": 6.89,
              "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": 3.79
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.86
            },
            {
              "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": 4.48
            },
            {
              "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": 3.79
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 4.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.58
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.89,
              "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": 6.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 6.89,
              "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": 6.89,
              "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": 95.5,
              "estimated_amount": 6.58
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.55
            }
          ]
        }
      ]
    },
    {
      "description": "Catheter External All Silicone Medium 28mm Conveen Optima",
      "code_information": [
        {
          "code": "PX-CHCO22028",
          "type": "CDM"
        },
        {
          "code": "A4349",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.28,
          "discounted_cash": 1.48,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 2.28,
              "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": 1.94
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.28,
              "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": 2.28,
              "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": 2.28,
              "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": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 2.28,
              "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": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.18
            },
            {
              "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": 2.28,
              "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": 1.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.28,
              "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": 2.28,
              "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": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 1.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.28,
              "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": 2.28,
              "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": 2.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 97.8,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 1.94
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.19
            },
            {
              "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": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.28,
              "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": 2.28,
              "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": 67.4,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.78
            },
            {
              "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": 1.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.28,
              "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": 2.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.28,
              "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": 1.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "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": 96.5,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.28,
              "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": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.28,
              "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": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.78
            }
          ]
        }
      ]
    },
    {
      "description": "Catheter 100% Silicone 20 Fr 5 Cc",
      "code_information": [
        {
          "code": "PX-CHBA165820",
          "type": "CDM"
        },
        {
          "code": "A4344",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 12.91,
          "discounted_cash": 8.39,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 12.33
            },
            {
              "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": "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": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4,
              "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": 7.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.26
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.91,
              "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": 96,
              "estimated_amount": 12.39
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.39
            },
            {
              "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": 12.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.33
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 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": 12.91,
              "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": 95.4,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 12.63
            },
            {
              "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 MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.46
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.39
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4
            },
            {
              "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": "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": "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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.39
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.46
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 97.8,
              "estimated_amount": 12.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.26
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.33
            },
            {
              "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 MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.33
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.32
            },
            {
              "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": 95.4,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.32
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.32
            },
            {
              "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": "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": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 12.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.26
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.39
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.46
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.33
            },
            {
              "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": "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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.97
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.26
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 12.63
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.39
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.46
            },
            {
              "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 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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.26
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.26
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.32
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 5,
          "discounted_cash": 3.25,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.78
            },
            {
              "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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.7
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55
            },
            {
              "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 MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 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": "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": "BUCKEYE COMMUNITY 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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.89
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 2.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.8
            },
            {
              "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": 4.4
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "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": "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 PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.83
            },
            {
              "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": "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": "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 CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "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": 5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "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": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.83
            },
            {
              "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": "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": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.89
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.78
            },
            {
              "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": 5,
              "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": 4.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.83
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.75
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55
            },
            {
              "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 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": "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": "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": "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": "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.7
            }
          ]
        }
      ]
    },
    {
      "description": "Stomahesive Strips",
      "code_information": [
        {
          "code": "PX-CHCV025542",
          "type": "CDM"
        },
        {
          "code": "A4362",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.14,
          "discounted_cash": 0.74,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 1.08
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 1.14,
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95.4,
              "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": 96.5,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.09
            },
            {
              "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": 95.4,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.09
            },
            {
              "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": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.14,
              "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": 95.4,
              "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": 96.5,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95.5,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 1.09
            },
            {
              "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": 1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.1
            },
            {
              "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": "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": "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 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": "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": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 1.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.63
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 1.08
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 0.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 1.14,
              "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": 95.4,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.11
            },
            {
              "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/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 GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "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": 0.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "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": 96,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 97.8,
              "estimated_amount": 1.11
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "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": 1.14,
              "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": 95.4,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.09
            },
            {
              "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 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 NAVIGATE [625280]",
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 1.14,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.97
            },
            {
              "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": 0.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35,
              "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": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            }
          ]
        }
      ]
    },
    {
      "description": "Catheter Silver Hydrogel 18 Fr 5 Cc",
      "code_information": [
        {
          "code": "PX-CHBA0165SI18",
          "type": "CDM"
        },
        {
          "code": "A4338",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 19.17,
          "discounted_cash": 12.46,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18.29
            },
            {
              "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": 95.4,
              "estimated_amount": 18.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19.17,
              "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": 97.8,
              "estimated_amount": 18.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18.21
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18.21
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 19.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18.21
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 18.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19.17,
              "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": 19.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19.17,
              "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": 95,
              "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": 10.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18.21
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.29
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 18.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18.29
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 18.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.94
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 19.17,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18.21
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 18.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 18.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19.17,
              "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": 19.17,
              "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": 95,
              "estimated_amount": 18.21
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.94,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.94
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.94
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 18.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 18.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19.17,
              "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": 19.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.94
            },
            {
              "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": 19.17,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.94,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 18.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 18.5
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18.21
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 18.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 18.5
            },
            {
              "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": 10.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 18.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 18.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19.17,
              "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": 16.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 18.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 19.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 18.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 18.31
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 18.4
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 18.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 18.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 18.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 18.4
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18.21
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 97.8,
              "estimated_amount": 18.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18.21
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.52
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.29
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.94,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 18.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19.17,
              "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": 19.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 18.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 18.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19.17,
              "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": 96,
              "estimated_amount": 18.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19.17,
              "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": 19.17,
              "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": 19.17,
              "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": 19.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.94
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18.21
            }
          ]
        }
      ]
    },
    {
      "description": "Hspc Room and Bed Forest Hills Center",
      "code_information": [
        {
          "code": "PX-65900213",
          "type": "CDM"
        },
        {
          "code": "T2046",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 272.31,
          "discounted_cash": 177,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 259.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 260.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 272.31,
              "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": 272.31,
              "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": 239.63
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 259.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 260.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 149.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 258.69
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 266.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 258.69
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 258.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 260.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 272.31,
              "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": 95,
              "estimated_amount": 258.69
            },
            {
              "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": 95.4,
              "estimated_amount": 259.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 259.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 272.31,
              "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": 272.31,
              "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": 149.77
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 92.59
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 92.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 149.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 260.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 260.06
            },
            {
              "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": 272.31,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 85.26,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 261.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 258.69
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 92.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 259.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 259.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 272.31,
              "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": 272.31,
              "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": 272.31,
              "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": 95,
              "estimated_amount": 258.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 259.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 262.78
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 88.64,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 261.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 258.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 258.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 259.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 259.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 272.31,
              "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": 95,
              "estimated_amount": 258.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 272.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 258.69
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 258.69
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 231.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 259.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 262.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 262.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 259.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 262.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 260.06
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 272.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 231.46
            },
            {
              "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": 149.77
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.42
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 92.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 259.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 260.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 272.31,
              "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": 272.31,
              "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": 272.31,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 258.69
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 259.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 259.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 259.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 262.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 262.78
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.42
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 231.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 259.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 266.32
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 261.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 258.69
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 92.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 260.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 260.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 272.31,
              "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": 96,
              "estimated_amount": 261.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 266.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 266.32
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 261.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 149.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 149.77
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 88.64,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 259.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 259.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 260.06
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 261.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 272.31,
              "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": 272.31,
              "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": 67.4,
              "estimated_amount": 183.54
            },
            {
              "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": 272.31,
              "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": 231.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 262.78
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.42
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 258.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 149.77
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.42
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 231.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 272.31,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.42
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 261.42
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Pre Cut Ext Wear Cvx 2 in Sur-Fit Natura",
      "code_information": [
        {
          "code": "PX-CHCV413188",
          "type": "CDM"
        },
        {
          "code": "A4407",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 15.36,
          "discounted_cash": 9.98,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.36,
              "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": 95,
              "estimated_amount": 14.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.76
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.36,
              "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": 15.36,
              "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": 15.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.76
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.76,
              "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": 96.5,
              "estimated_amount": 14.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.76
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.76,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.59
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.06
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 14.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.36,
              "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": 15.36,
              "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": 13.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 15.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 13.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.36,
              "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": 15.36,
              "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": 15.36,
              "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": 13.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.36,
              "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": 15.36,
              "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": 15.36,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.76
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 14.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.36,
              "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": 96,
              "estimated_amount": 14.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15.02
            },
            {
              "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": 8.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.76
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.76,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14.67
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.59
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.06
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.76
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.36,
              "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": 15.36,
              "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": 96,
              "estimated_amount": 14.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.65
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 15.36,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.59
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.59
            },
            {
              "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": 15.36,
              "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": 95.4,
              "estimated_amount": 14.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.65
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.76
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.76
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14.67
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.36,
              "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": 15.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.45
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Pre Cut Ext Wear Cvx 1 in Red Sensura Click",
      "code_information": [
        {
          "code": "PX-CHCO11026",
          "type": "CDM"
        },
        {
          "code": "A4407",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 11.77,
          "discounted_cash": 7.65,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.51
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.77,
              "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": 10
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.47
            },
            {
              "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": 6.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.18
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.77,
              "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": 96,
              "estimated_amount": 11.3
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 11.77,
              "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": 11.77,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.23
            },
            {
              "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": 95.4,
              "estimated_amount": 11.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.77,
              "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": 95,
              "estimated_amount": 11.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.18
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.18
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.18
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 10
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.77,
              "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": 95,
              "estimated_amount": 11.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.36
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.18
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4
            },
            {
              "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": 11.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.77,
              "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": 95,
              "estimated_amount": 11.18
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.77,
              "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": 11.77,
              "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": 95.4,
              "estimated_amount": 11.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.77,
              "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": 95,
              "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": 10
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.18
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 11.24
            },
            {
              "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": 11.77,
              "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": 11.77,
              "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": 11.77,
              "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
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 6.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95.5,
              "estimated_amount": 11.24
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.77,
              "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": 11.77,
              "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": 10.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 11.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 6.47
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.65,
              "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": 95.5,
              "estimated_amount": 11.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.77,
              "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": 11.77,
              "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": 95,
              "estimated_amount": 11.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.18
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.77,
              "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": 11.77,
              "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": 96,
              "estimated_amount": 11.3
            }
          ]
        }
      ]
    },
    {
      "description": "Exam of Cervix With Biopsy",
      "code_information": [
        {
          "code": "PX-36100971",
          "type": "CDM"
        },
        {
          "code": "57455",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 882,
          "discounted_cash": 573.3,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 841.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 842.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 842.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 846.72
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 846.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 882,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 837.9
            },
            {
              "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": 573.3
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 846.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 485.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 837.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 837.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 837.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 273.42
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 273.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 862.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 299.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 842.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 842.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 882,
              "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": 749.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 882,
              "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": 882,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 273.42
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 837.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 862.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 841.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 841.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 841.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 842.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 882,
              "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": 67.4,
              "estimated_amount": 594.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 837.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 841.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 841.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 842.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 882,
              "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": 882,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 273.42
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 846.72
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 299.88
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 749.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 841.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 851.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 851.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 851.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 882,
              "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": 95,
              "estimated_amount": 837.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 485.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 837.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 273.42
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 299.88
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 749.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 851.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 882,
              "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": 882,
              "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": 882,
              "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": 776.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 851.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 882,
              "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": 96,
              "estimated_amount": 846.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 485.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 299.88
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 273.42
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 846.72
            },
            {
              "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": 485.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 273.42
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 837.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 841.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 841.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 842.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 273.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 485.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 841.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 851.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 842.31
            },
            {
              "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": 882,
              "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": 882,
              "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": 882,
              "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": 95,
              "estimated_amount": 837.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 273.42
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 299.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 841.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 841.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 841.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 851.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 842.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 273.42
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 749.7
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 837.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 862.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 749.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 862.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 841.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 841.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 882,
              "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": 95.4,
              "estimated_amount": 841.43
            },
            {
              "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": 95.4,
              "estimated_amount": 841.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 842.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 882,
              "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": 485.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 485.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 837.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 841.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 882,
              "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": 96,
              "estimated_amount": 846.72
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 837.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 837.9
            }
          ]
        }
      ]
    },
    {
      "description": "Tray Driveline Management Lvad Weekly Kit",
      "code_information": [
        {
          "code": "PX-CHTRSDM345",
          "type": "CDM"
        },
        {
          "code": "A4649",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 46.7,
          "discounted_cash": 30.35,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25.69
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15.88
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.48,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 45.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46.7,
              "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": 46.7,
              "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": 46.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.48
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44.55
            },
            {
              "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": 95.4,
              "estimated_amount": 44.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 45.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.48
            },
            {
              "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": 41.1
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44.37
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 45.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 45.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44.37
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46.7,
              "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": 95,
              "estimated_amount": 44.37
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 45.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46.7,
              "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": 46.7,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 45.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.48
            },
            {
              "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": 25.69
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25.69
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 45.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46.7,
              "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": 97.8,
              "estimated_amount": 45.67
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 45.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46.7,
              "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": 96,
              "estimated_amount": 44.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46.7,
              "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": 46.7,
              "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": 46.7,
              "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": 95,
              "estimated_amount": 44.37
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44.37
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 45.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46.7,
              "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": 25.69
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44.37
            },
            {
              "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": 46.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 45.07
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.48
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46.7,
              "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": 46.7,
              "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": 96,
              "estimated_amount": 44.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.83
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46.7,
              "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": 46.7,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44.37
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.48,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46.7,
              "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": 46.7,
              "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": 46.7,
              "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": 46.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.48,
              "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": 95.4,
              "estimated_amount": 44.55
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44.37
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44.37
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 25.69
            }
          ]
        }
      ]
    },
    {
      "description": "Catheter 100% Silicone 14 Fr 5 Cc",
      "code_information": [
        {
          "code": "PX-CHBA165814",
          "type": "CDM"
        },
        {
          "code": "A4344",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 12.91,
          "discounted_cash": 8.39,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 12.33
            },
            {
              "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": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.97
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.26
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.26
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.39
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 12.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.33
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.46
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.39
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.32
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.46
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.39
            },
            {
              "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 CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.33
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 12.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 12.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.26
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.32
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 12.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.26
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.91,
              "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": 12.91,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.33
            },
            {
              "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/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": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4,
              "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": 7.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.33
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.97
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 12.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.33
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 7.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.46
            },
            {
              "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.39
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.26
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.33
            },
            {
              "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": "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": "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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.26
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.26
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.32
            },
            {
              "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": "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": "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": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.33
            },
            {
              "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": 12.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.39
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.39
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.39
            },
            {
              "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": 12.91,
              "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": 10.97
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.39
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 5,
          "discounted_cash": 3.25,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.78
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 2.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.7
            },
            {
              "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": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "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": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.83
            },
            {
              "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": 97.8,
              "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": 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": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.78
            },
            {
              "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": "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "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": 96,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.83
            },
            {
              "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 GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "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": 5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.89
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "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": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "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 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 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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.7
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.78
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "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": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.83
            },
            {
              "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": 5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.75
            },
            {
              "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 PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 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": 95,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.7
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.78
            },
            {
              "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": 5,
              "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": 95,
              "estimated_amount": 4.75
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55
            },
            {
              "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": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.77
            },
            {
              "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 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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.55
            }
          ]
        }
      ]
    },
    {
      "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": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.71
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.08,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 7.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.71
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.58
            },
            {
              "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": 13.17,
              "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": 97.8,
              "estimated_amount": 12.88
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 12.88
            },
            {
              "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": 7.24
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.08,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.58
            },
            {
              "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": "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.08
            },
            {
              "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 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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.08
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 96,
              "estimated_amount": 12.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.64
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.51
            },
            {
              "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": 13.17,
              "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": 95.4,
              "estimated_amount": 12.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.58
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 12.88
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.58
            },
            {
              "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": "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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.64
            },
            {
              "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": 95.4,
              "estimated_amount": 12.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.71
            },
            {
              "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": "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": "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 MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.56
            },
            {
              "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": "BUCKEYE COMMUNITY 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": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.56
            },
            {
              "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": "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": "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": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.48
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.58
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 11.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 12.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.08,
              "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": 95.4,
              "estimated_amount": 12.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.71
            },
            {
              "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": "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": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.58
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.64
            },
            {
              "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": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.17,
              "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": 95,
              "estimated_amount": 12.51
            }
          ]
        }
      ]
    },
    {
      "description": "Shampoo-Body Wash-Peri-Foam 7-3/4 Oz Aloe Vera 3 in 1",
      "code_information": [
        {
          "code": "PX-CHDERMA190",
          "type": "CDM"
        },
        {
          "code": "A4335",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6.6,
          "discounted_cash": 4.29,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.6,
              "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": 6.6,
              "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": 3.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "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": 3.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.45
            },
            {
              "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": 3.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 6.6,
              "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": 95.4,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.6,
              "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": 96,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.05,
              "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": 95.5,
              "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": 6.6,
              "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": 6.6,
              "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": 95.5,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.61
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.05,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.6,
              "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": 97.8,
              "estimated_amount": 6.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.61
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.5,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.34
            },
            {
              "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": 5.81
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.61
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.6,
              "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": 95,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.24
            },
            {
              "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": 6.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.6,
              "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": 6.6,
              "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": 6.6,
              "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": 3.63
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 6.6,
              "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": 6.6,
              "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": 6.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6.6,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.05,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.37
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.61
            },
            {
              "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": 95.4,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.6,
              "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": 6.6,
              "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": 95,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.6,
              "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": 3.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.27
            }
          ]
        }
      ]
    },
    {
      "description": "\"Intermittent Catheter Vinyl 14 Fr 14\"\" Dover\"",
      "code_information": [
        {
          "code": "PX-CHKN400614",
          "type": "CDM"
        },
        {
          "code": "A4351",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.94,
          "discounted_cash": 0.61,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.94,
              "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": 0.94,
              "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": 95,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.29
            },
            {
              "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": 0.94,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.29,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.94,
              "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": 0.94,
              "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": 96,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.94,
              "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": 0.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.52
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.94,
              "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": 95,
              "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": 0.94,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.29,
              "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": 95,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.5,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.94,
              "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": 97.8,
              "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": 97.8,
              "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": 0.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.94,
              "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": 0.94,
              "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": 0.52
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.94,
              "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": 0.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.29,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.94,
              "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": 95.4,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.94,
              "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": 0.94,
              "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": 0.94,
              "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": 95,
              "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": 0.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "Catheter Lubricath 16 Fr 30 Cc",
      "code_information": [
        {
          "code": "PX-CHBA0166L16",
          "type": "CDM"
        },
        {
          "code": "A4338",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 12.38,
          "discounted_cash": 8.05,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.82
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.38,
              "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": 12.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 8.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.38,
              "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": 10.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.38,
              "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": 10.89
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 12.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.76
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.38,
              "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": 12.38,
              "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": 6.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.76
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.38,
              "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": 12.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.84,
              "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": 6.81
            },
            {
              "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": 6.81
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.84
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.76
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.84
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.38,
              "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": 95,
              "estimated_amount": 11.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 12.11
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.52
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.82
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.95
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.84
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 12.11
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.76
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.52
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.84,
              "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": 95.4,
              "estimated_amount": 11.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.38,
              "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": 96,
              "estimated_amount": 11.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 12.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.38,
              "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": 12.38,
              "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": 12.38,
              "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": 12.38,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.38,
              "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": 96,
              "estimated_amount": 11.88
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.76
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 12.11
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.52
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.84
            },
            {
              "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": 12.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.84,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.84
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.38,
              "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": 6.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.21
            }
          ]
        }
      ]
    },
    {
      "description": "Water Sterile 1000ml Nebulizer Inhalation",
      "code_information": [
        {
          "code": "PX-CH55CK0010",
          "type": "CDM"
        },
        {
          "code": "A7008",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 11.93,
          "discounted_cash": 7.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.93,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.93,
              "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": 96,
              "estimated_amount": 11.45
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.56
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.14
            },
            {
              "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": 6.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.38
            },
            {
              "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": 11.93,
              "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": 11.93,
              "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": 10.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.93,
              "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": 11.93,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.56
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.33
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.67
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.93,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.93,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.33
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.33
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.14
            },
            {
              "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": 7.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.93,
              "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": 11.93,
              "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": 11.93,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "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": 11.93,
              "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": 95.4,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 11.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.33
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 10.14
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.93,
              "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": 95,
              "estimated_amount": 11.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.33
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.93,
              "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": 97.8,
              "estimated_amount": 11.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.56
            },
            {
              "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": 95.4,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.39
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.93,
              "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": 11.93,
              "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": 6.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.93,
              "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": 95.5,
              "estimated_amount": 11.39
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 8.04
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.33
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.45
            },
            {
              "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": 10.5
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.33
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.06
            }
          ]
        }
      ]
    },
    {
      "description": "\"1 Pc Ctf Ext Wear W- Filter Up to 2\"\" Premier\"",
      "code_information": [
        {
          "code": "PX-CHHO8574",
          "type": "CDM"
        },
        {
          "code": "A5057",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 15.82,
          "discounted_cash": 10.28,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.09
            },
            {
              "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": 15.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.45
            },
            {
              "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": 15.82,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.82,
              "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": 15.82,
              "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": 96,
              "estimated_amount": 15.19
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.45
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.9,
              "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": 8.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.9,
              "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": 15.82,
              "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": 13.92
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 15.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.03
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.38
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.11
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.03
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.38
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.45
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.9,
              "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": 15.82
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.82,
              "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": 15.82,
              "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": 15.82,
              "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": 8.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.82,
              "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": 15.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.82,
              "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": 15.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 8.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.82,
              "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": 15.82,
              "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": 97.8,
              "estimated_amount": 15.47
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.82,
              "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": 96,
              "estimated_amount": 15.19
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 15.82,
              "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": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.11
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.03
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.03
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.45
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.03
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.03
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.38
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.82,
              "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": 96.5,
              "estimated_amount": 15.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.11
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 15.82,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.9
            }
          ]
        }
      ]
    },
    {
      "description": "Dressing Medihoney Hcs Non Adh Medihoney Hcs 6 X 6 In",
      "code_information": [
        {
          "code": "PX-CHDUM31644",
          "type": "CDM"
        },
        {
          "code": "A6238",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 18.51,
          "discounted_cash": 12.03,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.51,
              "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": 18.51,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 18.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.58
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.74
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.29
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.74
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.18
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.29
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.74,
              "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": 95.4,
              "estimated_amount": 17.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.51,
              "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": 95.5,
              "estimated_amount": 17.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.51,
              "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": 96,
              "estimated_amount": 17.77
            },
            {
              "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": 16.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 18.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.18
            },
            {
              "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": 10.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.68
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 18.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.74
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.74
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.73
            },
            {
              "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": 18.51,
              "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": 95,
              "estimated_amount": 17.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.51,
              "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": 18.51,
              "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": 18.51,
              "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": 18.51,
              "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": 95.4,
              "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": 18.51,
              "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": 18.51,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.77
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.18
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.74
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 18.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.74,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.51,
              "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": 18.51,
              "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": 96,
              "estimated_amount": 17.77
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.58
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.51,
              "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": 18.51,
              "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": 95,
              "estimated_amount": 17.58
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.74
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.29
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.74,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.74
            },
            {
              "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": 95.4,
              "estimated_amount": 17.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.86
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 17.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 17.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.51,
              "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": 18.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.58
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.29
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.58
            }
          ]
        }
      ]
    },
    {
      "description": "Pet Myo Perf Single Rst or St W CT",
      "code_information": [
        {
          "code": "PX-34100088",
          "type": "CDM"
        },
        {
          "code": "78430",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3263,
          "discounted_cash": 2120.95,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3112.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3112.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3112.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3148.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3116.17
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3132.48
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3263,
              "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": 2871.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1794.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3112.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3112.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3116.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3116.17
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1011.53
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3099.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1011.53
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1109.42
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2773.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1011.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3112.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3112.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3112.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3148.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3148.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3263,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1011.53
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3099.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1794.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3099.85
            },
            {
              "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": 3263,
              "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": 95.5,
              "estimated_amount": 3116.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3099.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1011.53
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1109.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3112.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3263,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1011.53,
              "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": 95.4,
              "estimated_amount": 3112.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3112.9
            },
            {
              "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": 3263,
              "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": 3263,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1011.53
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3099.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3191.21
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2773.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3132.48
            },
            {
              "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": 2120.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1794.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3099.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1011.53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3112.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3263,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3132.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3099.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3099.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3099.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2773.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3112.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3148.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3263,
              "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": 96,
              "estimated_amount": 3132.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3112.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3263,
              "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": 3263,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1011.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1794.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3132.48
            },
            {
              "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": 3263,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3112.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3112.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3148.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3132.48
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3099.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2773.55
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2773.55
            },
            {
              "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": 1794.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1794.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1109.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3112.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3263,
              "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": 67.4,
              "estimated_amount": 2199.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3112.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3263,
              "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": 1794.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3099.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1011.53
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3099.85
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1109.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3116.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3116.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3263,
              "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": 95,
              "estimated_amount": 3099.85
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1011.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3263
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3099.85
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1109.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3116.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3116.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3263,
              "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": 3263,
              "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": 3263,
              "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": 3263,
              "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": 96,
              "estimated_amount": 3132.48
            },
            {
              "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": 3263,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3148.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3116.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3116.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3263,
              "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": 3263,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3191.21
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3191.21
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3191.21
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1011.53
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2773.55
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1011.53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3148.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3263,
              "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": 3263,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Transcath Tricuspid Valve Repair Perct App Each Addtl Prosthesis",
      "code_information": [
        {
          "code": "PX-36100987",
          "type": "CDM"
        },
        {
          "code": "0570T",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 11953,
          "discounted_cash": 7769.45,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11403.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11403.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11415.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11415.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11953,
              "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": 6574.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11403.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11534.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11415.12
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11355.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11690.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11690.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11355.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4064.02
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4064.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11355.35
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11474.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11403.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11403.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11403.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11415.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11953,
              "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": 11953,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11403.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11534.65
            },
            {
              "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": 11953,
              "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": 6574.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11355.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11355.35
            },
            {
              "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": 7769.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11415.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11474.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11355.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4064.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11403.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11403.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11403.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11474.88
            },
            {
              "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": 10518.64
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11474.88
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11355.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11534.65
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3705.43
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3705.43
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11474.88
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10160.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3705.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11534.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11534.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11415.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11953,
              "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": 11953,
              "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": 11953,
              "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": 6574.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6574.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11355.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3705.43
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11355.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11474.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11403.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11403.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11403.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11953,
              "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": 95.5,
              "estimated_amount": 11415.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4064.02
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4064.02
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3705.43
            },
            {
              "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": 95.4,
              "estimated_amount": 11403.16
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3705.43
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3705.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6574.15
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3705.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11403.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11534.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11953,
              "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": 95.4,
              "estimated_amount": 11403.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11690.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11534.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11953,
              "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": 11953,
              "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": 11953,
              "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": 67.4,
              "estimated_amount": 8056.32
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11355.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11355.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10160.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11415.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11415.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11953,
              "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": 11953,
              "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": 6574.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3705.43
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10160.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11403.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11953,
              "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": 10160.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11403.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11953,
              "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": 11953,
              "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": 97.8,
              "estimated_amount": 11690.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6574.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11355.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3705.43
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11474.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11415.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11953,
              "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": 95,
              "estimated_amount": 11355.35
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10160.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11355.35
            }
          ]
        }
      ]
    },
    {
      "description": "HC Elect Anlys W/Smpl Prgrm Implant Integrated Neurostim Syst Post Tibial Nerve 1-3",
      "code_information": [
        {
          "code": "PX-36101006",
          "type": "CDM"
        },
        {
          "code": "0589T",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1210,
          "discounted_cash": 786.5,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1154.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1154.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1154.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1154.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1167.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1210,
              "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": 96,
              "estimated_amount": 1161.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1183.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1149.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1149.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 411.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1154.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1154.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1155.55
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1149.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1028.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 665.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 665.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1028.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 411.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1161.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1183.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1149.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 411.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1154.34
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 375.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1210,
              "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": 1064.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1149.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 375.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1149.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 375.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 411.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 375.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1210,
              "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": 1028.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1154.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1167.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1167.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1210,
              "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": 1210,
              "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": 95.4,
              "estimated_amount": 1154.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1210,
              "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": 665.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 411.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1149.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1149.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1161.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1154.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1155.55
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 375.1
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1149.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 375.1
            },
            {
              "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": 786.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1154.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1154.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1155.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1155.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1155.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1210,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 375.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1149.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 375.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1028.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1183.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 665.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1155.55
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1161.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1183.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1154.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1167.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1155.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1210,
              "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": 1210,
              "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": 1210,
              "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": 1210,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 375.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 665.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1167.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1210,
              "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": 67.4,
              "estimated_amount": 815.54
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1149.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 375.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1161.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1154.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1154.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1154.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1155.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1161.6
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1028.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1210,
              "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": 665.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1149.5
            },
            {
              "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": 95.4,
              "estimated_amount": 1154.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1167.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1167.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1155.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1210,
              "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": 1210,
              "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": 95,
              "estimated_amount": 1149.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1154.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1155.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1210,
              "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": 1210,
              "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": 96,
              "estimated_amount": 1161.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1210,
              "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": 665.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1149.5
            }
          ]
        }
      ]
    },
    {
      "description": "HC Veeg Lt Intermittent 2-12 Hrs",
      "code_information": [
        {
          "code": "PX-74000031",
          "type": "CDM"
        },
        {
          "code": "95712",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8536,
          "discounted_cash": 5548.4,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8143.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8151.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8536,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2646.16
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8109.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 8536
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2646.16
            },
            {
              "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": 8536,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8143.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8143.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8237.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8536,
              "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": 8536,
              "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": 8536,
              "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": 95,
              "estimated_amount": 8109.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4694.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2646.16
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8109.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8348.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4694.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8109.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2902.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7255.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2902.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8143.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8237.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8151.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8536,
              "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": 95,
              "estimated_amount": 8109.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8143.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8151.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8536,
              "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": 8536,
              "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": 96,
              "estimated_amount": 8194.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8143.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8143.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8143.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8151.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8536,
              "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": 8536,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8348.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8109.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8109.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7255.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2646.16
            },
            {
              "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": 8536,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8194.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8143.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8151.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8151.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2646.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8194.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8348.21
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2902.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2902.24
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2902.24
            },
            {
              "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": 8536,
              "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": 4694.8
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8194.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8143.34
            },
            {
              "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": 8536,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2646.16
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2646.16
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8109.2
            },
            {
              "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": 4694.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2646.16
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7255.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2646.16,
              "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": 95.4,
              "estimated_amount": 8143.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8143.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8151.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8151.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8536,
              "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": 8536,
              "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": 95.4,
              "estimated_amount": 8143.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8109.2
            },
            {
              "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": 5548.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8143.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8237.24
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8536,
              "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": 95,
              "estimated_amount": 8109.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8109.2
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2646.16,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8143.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8151.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8536,
              "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": 8536,
              "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": 96,
              "estimated_amount": 8194.56
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7255.6
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7255.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8143.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8237.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2646.16
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8109.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8194.56
            },
            {
              "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": 8536,
              "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": 8536,
              "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": 67.4,
              "estimated_amount": 5753.26
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8194.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2646.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8348.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4694.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4694.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8109.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7255.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8143.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8536,
              "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": 7511.68
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2646.16,
              "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": 96.5,
              "estimated_amount": 8237.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8237.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8536,
              "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": 4694.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8109.2
            },
            {
              "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": 95.4,
              "estimated_amount": 8143.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8237.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8151.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8536,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "Catheter External All Silicone 35mm Conveen Optima Sport",
      "code_information": [
        {
          "code": "PX-CHCO22135",
          "type": "CDM"
        },
        {
          "code": "A4349",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.28,
          "discounted_cash": 1.48,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.28,
              "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": 2.01
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 97.8,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.28,
              "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": 2.28,
              "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": 2.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.28,
              "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": 2.28,
              "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": 2.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.28,
              "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": 1.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.25
            },
            {
              "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": 1.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.23
            },
            {
              "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": 1.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.94
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.71
            },
            {
              "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": 1.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.28,
              "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": 2.28,
              "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": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.28,
              "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": 2.28,
              "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": 2.28,
              "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": 2.28,
              "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": 2.28,
              "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": 2.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 67.4,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.28,
              "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": 1.94
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 1.94
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.94
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.28,
              "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": 1.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.28,
              "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": 2.28,
              "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": 2.28,
              "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": 2.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 1.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.28,
              "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": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 1.94
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "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": 95.4,
              "estimated_amount": 2.18
            },
            {
              "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": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 2.28,
              "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": 2.28,
              "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": 2.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 67.4,
              "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": 96,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.19
            },
            {
              "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": 2.01
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.94
            },
            {
              "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": 1.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.28,
              "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": 1.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 1.94
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.28,
              "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": 2.28,
              "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": 2.28,
              "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": 2.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "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": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.28,
              "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": 2.28,
              "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": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.28,
              "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": 95,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.71
            }
          ]
        }
      ]
    },
    {
      "description": "Iodine Scrub Solution 10% 16 Oz Bottle",
      "code_information": [
        {
          "code": "PX-CHDY1425",
          "type": "CDM"
        },
        {
          "code": "A4246",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.45,
          "discounted_cash": 2.89,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.25
            },
            {
              "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": 95.4,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.45,
              "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": 4.45,
              "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": 4.45,
              "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": 4.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.38,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.45,
              "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": 4.45,
              "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": 2.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 4.45,
              "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": 4.45,
              "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": 96,
              "estimated_amount": 4.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 4.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "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": 3.92
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.45,
              "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": 95,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.38,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.27
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.27
            },
            {
              "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": 4.45,
              "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": 4.45,
              "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": 2.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "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": 4.45,
              "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": 4.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.45,
              "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": 95,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.38,
              "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": 95.5,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 96,
              "estimated_amount": 4.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.45,
              "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": 4.45,
              "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": 4.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.27
            },
            {
              "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": 4.45,
              "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": 97.8,
              "estimated_amount": 4.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.25
            },
            {
              "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": 4.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.51
            }
          ]
        }
      ]
    },
    {
      "description": "Intermittent Catheter Female 14 Fr",
      "code_information": [
        {
          "code": "PX-CHKN7660903",
          "type": "CDM"
        },
        {
          "code": "A4351",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.81,
          "discounted_cash": 0.53,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.81,
              "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": 95,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.81,
              "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": 0.81,
              "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": 96.5,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.81,
              "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": 0.81,
              "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": 95,
              "estimated_amount": 0.77
            },
            {
              "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": 0.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.25,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.81,
              "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": 0.81,
              "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": 0.81,
              "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": 97.8,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.25,
              "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": 0.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.81,
              "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": 0.81,
              "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": 95,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 0.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.81,
              "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": 0.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.81,
              "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": 0.81,
              "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": 0.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 0.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.81,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.25,
              "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": 96,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.81,
              "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": 0.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95.5,
              "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": 0.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "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": 0.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.77
            },
            {
              "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": 0.81,
              "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": 95.5,
              "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": 0.81,
              "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": 96,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.25
            }
          ]
        }
      ]
    },
    {
      "description": "Alcohol Wipes 70% Isopropyl Pharma-C-Wipes Each= 1 Tub 48",
      "code_information": [
        {
          "code": "PX-CHKLE200736",
          "type": "CDM"
        },
        {
          "code": "A4245",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.77,
          "discounted_cash": 2.45,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.77,
              "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": 95,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.77,
              "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": 96,
              "estimated_amount": 3.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.77,
              "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": 95.4,
              "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": 96.5,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 3.77,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 3.58
            },
            {
              "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": 3.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.77,
              "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": 3.77,
              "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": 3.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.77,
              "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": 3.77,
              "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": 3.77,
              "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": 3.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 97.8,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 96,
              "estimated_amount": 3.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.6
            },
            {
              "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": 95.4,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.77,
              "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": 2.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 3.2
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.62
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 3.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.77,
              "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": 3.77,
              "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": 3.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.62
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.77,
              "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": 95,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.17,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.77,
              "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": 2.07
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.17,
              "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": 97.8,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.77,
              "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": 3.77,
              "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": 3.77,
              "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": 95,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.17,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 2.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 3.58
            }
          ]
        }
      ]
    },
    {
      "description": "HC Francisella Tularensis Antibody So",
      "code_information": [
        {
          "code": "PX-30200671",
          "type": "CDM"
        },
        {
          "code": "86668",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 502,
          "discounted_cash": 326.3,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 476.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 484.43
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 155.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 490.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 476.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.16,
              "estimated_amount": 14.16
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 170.68
            },
            {
              "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": 95.4,
              "estimated_amount": 478.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "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": 441.76
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 155.62
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 170.68
            },
            {
              "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": 276.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 484.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 484.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 155.62
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 476.9
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 426.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 484.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 484.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 476.9
            },
            {
              "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": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 155.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 476.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 476.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 155.62,
              "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": 276.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 476.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 155.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 476.9
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 155.62
            },
            {
              "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": 326.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 484.43
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 476.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 476.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 170.68
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 155.62,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "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": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 155.62
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 155.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 276.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 476.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 170.68
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 155.62,
              "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": 426.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 484.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 476.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 478.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 490.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 490.96
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 155.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 481.92
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 476.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 490.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 155.62
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 170.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 476.9
            }
          ],
          "minimum": 14.16,
          "maximum": 14.16
        }
      ]
    },
    {
      "description": "Pill Cutter",
      "code_information": [
        {
          "code": "PX-CH6464054370000HS",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.09,
          "discounted_cash": 2.66,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 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": 95,
              "estimated_amount": 3.89
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.09,
              "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": 4.09,
              "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": 4.09,
              "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": 4.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.27
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.09,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "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": 3.48
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.09,
              "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": 4.09,
              "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": 4.09,
              "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": 4.09,
              "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": 4.09,
              "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": 3.6
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 3.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 3.89
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.09,
              "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": 96,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.09,
              "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": 97.8,
              "estimated_amount": 4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.27
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 3.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.9
            },
            {
              "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": 95.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.27
            },
            {
              "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": 4.09,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.27
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.27
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.09,
              "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": 95,
              "estimated_amount": 3.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.89
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.89
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.27
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 96.5,
              "estimated_amount": 3.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.09,
              "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": 96,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.09,
              "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": 3.48
            }
          ]
        }
      ]
    },
    {
      "description": "\"Alginate Calcium Dermagina Ag 2\"\" X 2\"\"\"",
      "code_information": [
        {
          "code": "PX-CHDERMA520E",
          "type": "CDM"
        },
        {
          "code": "A6196",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.19,
          "discounted_cash": 2.07,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.19,
              "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": 3.19,
              "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": 97.8,
              "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": 95,
              "estimated_amount": 3.03
            },
            {
              "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": 3.19,
              "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": 95,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.19,
              "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": 3.19,
              "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": 95,
              "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": 1.75
            },
            {
              "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": 1.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.08
            },
            {
              "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": 3.19,
              "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": 3.19,
              "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": 95,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95.5,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.99,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 3.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.19,
              "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": 3.19,
              "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": 3.19,
              "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": 3.19,
              "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": 2.81
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.03
            },
            {
              "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": 95.4,
              "estimated_amount": 3.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 3.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.71
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.99,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.19,
              "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": 96,
              "estimated_amount": 3.06
            },
            {
              "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": 3.19,
              "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": 2.71
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.19,
              "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": 96,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95,
              "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": 95,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 97.8,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.71
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 3.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.19,
              "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": 3.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3.19,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.99,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "Drainage Bag 600ml Gravity Navarre Universal Gravity Drai",
      "code_information": [
        {
          "code": "PX-CHBANDB600",
          "type": "CDM"
        },
        {
          "code": "A4649",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 20.85,
          "discounted_cash": 13.55,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.85,
              "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": 17.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 20.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.81
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.81
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.72
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 20.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.85,
              "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": 20.85,
              "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": 95,
              "estimated_amount": 19.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.47
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.46
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7.09
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.72
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.46,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.85,
              "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": 96,
              "estimated_amount": 20.02
            },
            {
              "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": 18.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 20.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.81
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 20.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.91
            },
            {
              "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": 20.85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.81
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.91
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.46
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 20.02
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 20.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.85,
              "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": 20.85,
              "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": 97.8,
              "estimated_amount": 20.39
            },
            {
              "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": 11.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.81
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.46
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7.09
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.46,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.46
            },
            {
              "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": 95.4,
              "estimated_amount": 19.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.85,
              "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": 20.85,
              "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": 11.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.81
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.85,
              "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": 20.85,
              "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": 20.85,
              "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": 20.85,
              "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": 20.85,
              "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": 95,
              "estimated_amount": 19.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 20.39
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 20.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.91
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.85,
              "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": 20.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.46
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.91
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.46
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.89
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.89
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.46
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 20.02
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.85,
              "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": 20.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.46,
              "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": 17.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 20.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.81
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.46
            },
            {
              "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": 20.85,
              "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": 96.5,
              "estimated_amount": 20.12
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 20.85,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "\"Washcloth Disposable 12\"\" X 8\"\" Soft Pack\"",
      "code_information": [
        {
          "code": "PX-CH1QCRW050",
          "type": "CDM"
        },
        {
          "code": "AA9285",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.06,
          "discounted_cash": 0.04,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "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": 97.8,
              "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": 0.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 67.4,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.05
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 0.03
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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": 97.8,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.06
            },
            {
              "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": 0.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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": 94.6,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 0.06
            },
            {
              "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": 0.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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": 96,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 97.8,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.05
            },
            {
              "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": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "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": 0.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.06
            }
          ]
        }
      ]
    },
    {
      "description": "HC Cytogenomic Neoplasia Microarray Analysis Ap So",
      "code_information": [
        {
          "code": "PX-30101496",
          "type": "CDM"
        },
        {
          "code": "81277",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 9148,
          "discounted_cash": 5946.2,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8727.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8727.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8782.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8782.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8782.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8946.74
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3110.32
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2835.88,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8727.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8727.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8782.08
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8690.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8946.74
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3110.32
            },
            {
              "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": 5946.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5031.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5031.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8690.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2835.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8727.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8727.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8782.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8782.08
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8690.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8827.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8827.82
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8690.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8690.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7775.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8727.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8827.82
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2835.88
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2835.88,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8690.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8690.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3110.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8727.19
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2835.88
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8690.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8782.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8782.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8782.08
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8782.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5031.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8690.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8690.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8782.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8782.08
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2835.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5031.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8690.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3110.32
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8782.08
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8782.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8727.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8827.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8782.08
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2835.88
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7775.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8827.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8782.08
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2835.88,
              "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": 97.8,
              "estimated_amount": 8946.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5031.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5031.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8782.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8782.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8690.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2835.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8727.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8727.19
            },
            {
              "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": 95.4,
              "estimated_amount": 8727.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8782.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8782.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8782.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8727.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8727.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8727.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8782.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8782.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8782.08
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7775.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8690.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2835.88
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3110.32
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2835.88
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2835.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8727.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8827.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8782.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8782.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8782.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8782.08
            },
            {
              "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": 8050.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7775.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8946.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8690.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2835.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8727.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8827.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8782.08
            },
            {
              "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": 5031.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7775.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8727.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8782.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8782.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8782.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8782.08
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160,
              "estimated_amount": 1160
            }
          ],
          "minimum": 1160,
          "maximum": 1160
        }
      ]
    },
    {
      "description": "Povidone-Iodine Swabsticks 2.75 in X 5.75 In",
      "code_information": [
        {
          "code": "PX-CHPYS41125",
          "type": "CDM"
        },
        {
          "code": "A4247",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.15,
          "discounted_cash": 0.1,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.15,
              "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": 96,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.05,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.15,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.15,
              "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": 0.15,
              "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": 95.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.15,
              "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": 0.15,
              "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": 0.15,
              "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": 0.15,
              "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": 0.13
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.14
            },
            {
              "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": 0.15,
              "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": 97.8,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.14
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.05,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.15,
              "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": 0.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.15,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.15,
              "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": 0.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.08
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.15,
              "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": 0.15,
              "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": 0.08
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 0.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.14
            },
            {
              "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": 95.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.15,
              "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": 96,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.15,
              "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": 0.15,
              "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": 95.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.05,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "Elbow Protector Safegaurd Lrg White Ea = 1 (Pair)",
      "code_information": [
        {
          "code": "PX-CHMTICLG61",
          "type": "CDM"
        },
        {
          "code": "E0191",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 10.79,
          "discounted_cash": 7.01,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.93
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.36
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.36
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.93
            },
            {
              "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": 5.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.93
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 10.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.79,
              "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": 10.79,
              "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": 10.79,
              "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": 96,
              "estimated_amount": 10.36
            },
            {
              "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": 10.79,
              "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": 95,
              "estimated_amount": 10.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 10.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.93
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.79,
              "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": 10.79,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 9.17
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.41
            },
            {
              "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": 9.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.79,
              "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": 97.8,
              "estimated_amount": 10.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.79,
              "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": 9.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.79,
              "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": 95.4,
              "estimated_amount": 10.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.79,
              "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": 10.79,
              "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": 95.4,
              "estimated_amount": 10.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.79,
              "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": 10.79,
              "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": 97.8,
              "estimated_amount": 10.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.17
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.79,
              "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": 10.79,
              "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": 95,
              "estimated_amount": 10.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.29
            },
            {
              "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": 10.79,
              "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": 95,
              "estimated_amount": 10.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.67
            }
          ]
        }
      ]
    },
    {
      "description": "HC Aldosterone",
      "code_information": [
        {
          "code": "PX-30101503",
          "type": "CDM"
        },
        {
          "code": "82088",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 136,
          "discounted_cash": 88.4,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 129.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 129.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 131.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 42.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 74.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 129.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 115.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 129.74
            },
            {
              "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": 119.68
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 42.16,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 42.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 129.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 129.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 46.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 129.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 129.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 129.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 42.16,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 46.24
            },
            {
              "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": 136,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 74.8
            },
            {
              "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": 136,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 129.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 131.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 129.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 42.16
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 115.6
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 131.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 115.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 129.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 129.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 131.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "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": 136,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 129.2
            },
            {
              "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": 88.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 129.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 129.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 133.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 136
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 46.24
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 129.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 129.74
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 129.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 133.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 74.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 129.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 129.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 133.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 129.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "estimated_amount": 129.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 129.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 42.16,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 133.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 129.2
            },
            {
              "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": 136,
              "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": 96.5,
              "estimated_amount": 131.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 42.16
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 129.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 129.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 74.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 42.16
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 42.16
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 91.66
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 42.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 129.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 131.24
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 136,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 115.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 115.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 74.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 42.16
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 46.24
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 115.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 131.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "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": 136,
              "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": 95.4,
              "estimated_amount": 129.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 129.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 129.2
            },
            {
              "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": 74.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 46.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 130.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 42.16
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 42.16
            }
          ]
        }
      ]
    },
    {
      "description": "Briefs Wings Ultra Quilted Adult Large Preferred",
      "code_information": [
        {
          "code": "PX-CHKN77074",
          "type": "CDM"
        },
        {
          "code": "A4520",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.55,
          "discounted_cash": 0.36,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.55,
              "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": 0.55,
              "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": 0.55
            },
            {
              "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 MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 0.47
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.55,
              "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": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "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": 0.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.55,
              "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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 0.55,
              "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": 97.8,
              "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": 97.8,
              "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": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.55,
              "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": 0.55,
              "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": 67.4,
              "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": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.55,
              "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": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "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": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.55,
              "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": 0.55,
              "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": 0.55,
              "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": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.55,
              "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": 0.55,
              "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": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 0.36
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.55,
              "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": 0.55,
              "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": 96,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 0.3
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            }
          ]
        }
      ]
    },
    {
      "description": "HC Cdsm Ndsc G1004",
      "code_information": [
        {
          "code": "PX-35000013",
          "type": "CDM"
        },
        {
          "code": "G1004",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.01,
          "discounted_cash": 0.01,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.01,
              "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": 0.01,
              "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": "Service paid by percent of billed.",
              "estimated_amount": 0.01,
              "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": "Service paid by percent of billed.",
              "estimated_amount": 0.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 0.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.01,
              "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": 0.01,
              "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": 0.01,
              "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": 0.01,
              "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": 0.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.01
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 0.01,
              "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": 96,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 0.01,
              "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": 96,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.01,
              "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": 0.01,
              "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": 0.01,
              "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": 0.01,
              "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": 0.01
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 0.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 0.01,
              "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": 97.8,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 0.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.01,
              "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": "Service paid by percent of billed.",
              "estimated_amount": 0.01,
              "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": 95,
              "estimated_amount": 0.01
            },
            {
              "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": 0.01
            },
            {
              "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": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.01,
              "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": 0.01,
              "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": 95,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 0.01,
              "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": 95.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.01
            },
            {
              "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": 95.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 0.01,
              "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": 0.01
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 0.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.01
            },
            {
              "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": 0.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.01,
              "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": 95,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 0.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 0.01,
              "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": 95,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 0.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.01,
              "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": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Cdsm Cranberry Peak G1008",
      "code_information": [
        {
          "code": "PX-35000017",
          "type": "CDM"
        },
        {
          "code": "G1008",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.01,
          "discounted_cash": 0.01,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.01,
              "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": 0.01,
              "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": 0.01,
              "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": 96,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 0.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.01,
              "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": "Service paid by percent of billed.",
              "estimated_amount": 0.01,
              "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": 0.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 0.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 0.01,
              "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": 95,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 0.01,
              "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": 95.5,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 96,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 0.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 0.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 0.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.01,
              "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": 97.8,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 0.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 0.01,
              "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": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.01,
              "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": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 0.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.01,
              "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": 0.01
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.01,
              "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": 95,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.01,
              "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_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 0.01,
              "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": 0.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.01,
              "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": 95,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.01,
              "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": 0.01,
              "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": 95.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.01,
              "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": 0.01,
              "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": "Service paid by percent of billed.",
              "estimated_amount": 0.01,
              "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": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.01
            },
            {
              "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": 95.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.01,
              "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": 95,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 0.01,
              "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": 0.01
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 0.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.01,
              "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": 97.8,
              "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": 0.01
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.01
            }
          ]
        }
      ]
    },
    {
      "description": "Hydrocolloid Drsg Tegaderm 4 in X 4 In",
      "code_information": [
        {
          "code": "PX-CH3M90002",
          "type": "CDM"
        },
        {
          "code": "A6250",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6.89,
          "discounted_cash": 4.48,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.89,
              "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": 6.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 6.89,
              "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": 6.89,
              "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": 6.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 6.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.58
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.58
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.89,
              "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": 96.5,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.89,
              "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": 6.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.14
            },
            {
              "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": 6.89,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.89,
              "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": 6.89,
              "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": 96,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.74
            },
            {
              "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": 3.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.89,
              "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": 6.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.14
            },
            {
              "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": 6.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.89,
              "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": 96,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 5.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 3.79
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.89,
              "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": 6.89,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.89,
              "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": 6.89,
              "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": 6.89,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.58
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.86
            }
          ]
        }
      ]
    },
    {
      "description": "Intermittent Cath Kit Unisex 14 Fr Touchless",
      "code_information": [
        {
          "code": "PX-CHBA4A5044",
          "type": "CDM"
        },
        {
          "code": "A4353",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.83,
          "discounted_cash": 2.49,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.66
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.68
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3.83,
              "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": 2.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.19,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 2.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.64
            },
            {
              "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": 3.83,
              "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": 2.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.66
            },
            {
              "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 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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.66
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.75
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 3.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.19,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.75
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.66
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.68
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 3.83,
              "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": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.19
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.65
            },
            {
              "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": 95.4,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.7
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.68
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "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": 95,
              "estimated_amount": 3.64
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.65
            },
            {
              "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 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": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.65
            },
            {
              "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/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": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.66
            },
            {
              "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": "BUCKEYE COMMUNITY 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": "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": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.7
            },
            {
              "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": "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 GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "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": 3.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.19
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.19,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.65
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.64
            }
          ]
        }
      ]
    },
    {
      "description": "Ide G190186 Ev Icd Sternal Tunneling Tool",
      "code_information": [
        {
          "code": "PX-62400228",
          "type": "CDM"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 950,
          "discounted_cash": 617.5,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 906.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 898.7
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 294.5
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 640.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 902.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 294.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 912
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 898.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 898.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 898.7
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 294.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 929.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 294.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 294.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 912
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 906.3
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 807.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 906.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 907.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 898.7
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 902.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 323
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 522.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 902.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 902.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 902.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 912
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 617.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 906.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 906.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 898.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 522.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 522.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 902.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 902.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 916.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 916.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 907.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 907.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 906.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 898.7
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 807.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 929.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 323
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 929.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 522.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 323
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 323
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 898.7
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 902.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 902.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 907.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 906.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 906.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 906.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 907.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 898.7
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 294.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 912
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 912
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 912
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 294.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 294.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 807.5
            },
            {
              "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": 522.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 522.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 902.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 807.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 294.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 906.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 906.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 906.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 906.3
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 902.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 807.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 916.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 916.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 916.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 898.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 898.7
            },
            {
              "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": 836
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 950
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 929.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 907.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 898.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 898.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 907.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 898.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 898.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 898.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 522.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 902.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 906.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 916.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 898.7
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 912
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 906.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 907.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 907.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 907.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 902.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 294.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 906.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 906.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 906.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 916.75
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 902.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 323
            }
          ]
        }
      ]
    },
    {
      "description": "Collagen 1 G Powder",
      "code_information": [
        {
          "code": "PX-CHMBICP10",
          "type": "CDM"
        },
        {
          "code": "A6010",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8.4,
          "discounted_cash": 5.46,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.4,
              "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": 95,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.98
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.4,
              "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": 7.14
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.62
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.4,
              "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": 8.4,
              "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": 96,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.4,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.98
            },
            {
              "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": 5.46
            },
            {
              "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 OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.4,
              "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": 96,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.22
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.98
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "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": 95.5,
              "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": 8.4,
              "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": 8.4,
              "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": 7.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.4,
              "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": 8.4,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 4.62
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.02
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.4,
              "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": 95.4,
              "estimated_amount": 8.01
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.06
            },
            {
              "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": 4.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.86
            },
            {
              "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": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.4,
              "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": 8.4,
              "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": 8.4,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 5.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.4,
              "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": 8.4,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.4,
              "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": 96,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.6
            }
          ]
        }
      ]
    },
    {
      "description": "HC Culture Stool Aerobic Ssyc So",
      "code_information": [
        {
          "code": "PX-30600334",
          "type": "CDM"
        },
        {
          "code": "87045",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 46,
          "discounted_cash": 29.9,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 43.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.16
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.16
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 43.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 44.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.16
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.26
            },
            {
              "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": 40.48
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.26
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.26
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 44.99
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.44,
              "estimated_amount": 9.44
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 43.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 43.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 43.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.16
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 43.7
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 43.7
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 43.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 43.7
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.26
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.16
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 43.7
            },
            {
              "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": 25.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 43.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 43.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 44.39
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 43.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 43.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.26
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.26,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.26,
              "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": 25.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 44.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 43.7
            },
            {
              "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": 29.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 43.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 43.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 44.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 44.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 44.99
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 43.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 43.88
            },
            {
              "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": 95.4,
              "estimated_amount": 43.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 44.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 43.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15.64
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.16
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.26
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 43.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 44.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.16
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 43.7
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 44.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 43.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 43.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 43.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 43.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.16
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.26,
              "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": 39.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 44.99
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 43.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 43.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 43.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 43.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.16
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 43.7
            }
          ],
          "minimum": 9.44,
          "maximum": 9.44
        }
      ]
    },
    {
      "description": "\"1 Pc Ctf Ext Wear Cvx W Filter Up to 1\"\" Premier Cera Plus\"",
      "code_information": [
        {
          "code": "PX-CHHO8954",
          "type": "CDM"
        },
        {
          "code": "A5057",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 15.82,
          "discounted_cash": 10.28,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15.27
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.9,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 15.03
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.38
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.9,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15.27
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.82,
              "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": 15.82,
              "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": 96,
              "estimated_amount": 15.19
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.82,
              "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": 15.82,
              "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": 15.82,
              "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": 95,
              "estimated_amount": 15.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.03
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.82,
              "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": 15.82,
              "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": 97.8,
              "estimated_amount": 15.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 13.45
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.9,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.38
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.82,
              "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": 15.82,
              "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": 96,
              "estimated_amount": 15.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.82,
              "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": 15.82,
              "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": 15.82,
              "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": 95,
              "estimated_amount": 15.03
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.03
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.82,
              "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": 96,
              "estimated_amount": 15.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.03
            },
            {
              "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": 15.82,
              "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": 13.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.82,
              "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": 96.5,
              "estimated_amount": 15.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.82,
              "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": 13.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.11
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 15.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.82,
              "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": 15.82,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.09
            },
            {
              "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": 8.7
            },
            {
              "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": 13.92
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.45
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.7
            },
            {
              "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": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.03
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.11
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.11
            }
          ]
        }
      ]
    },
    {
      "description": "Catheter Ultramer 24 Fr 5cc Hydrogel Coated Latex",
      "code_information": [
        {
          "code": "PX-CHKN1624",
          "type": "CDM"
        },
        {
          "code": "A4338",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6.96,
          "discounted_cash": 4.52,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.96,
              "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": 6.96,
              "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": 6.96,
              "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": 95,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.72
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.68
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.81
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.92
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.16,
              "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": 3.83
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.16,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.96,
              "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": 6.96,
              "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": 6.96,
              "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": 6.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.68
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.61
            },
            {
              "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": 3.83
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 3.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 5.92
            },
            {
              "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": 4.52
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.96,
              "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": 95,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.96,
              "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": 96,
              "estimated_amount": 6.68
            },
            {
              "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": 6.96,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.96,
              "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": 6.96,
              "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": 97.8,
              "estimated_amount": 6.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.96,
              "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": 6.96,
              "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": 6.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 3.83
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.37
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.96,
              "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": 96,
              "estimated_amount": 6.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 6.96,
              "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": 6.96,
              "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": 5.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.37
            },
            {
              "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": 95.4,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6.96,
              "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": 6.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.16,
              "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": 95.5,
              "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": 95,
              "estimated_amount": 6.61
            },
            {
              "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": 6.96,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "Pads Pant Liners Simplicity Light Absorbency",
      "code_information": [
        {
          "code": "PX-CHKN1530",
          "type": "CDM"
        },
        {
          "code": "A4520",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.28,
          "discounted_cash": 0.18,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.28,
              "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": 0.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.28,
              "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": 0.28,
              "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": 0.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 0.24
            },
            {
              "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": 0.18
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95.4,
              "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": 95.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.28,
              "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": 95.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.28,
              "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": 0.28,
              "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": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.28,
              "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": 0.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 0.27
            },
            {
              "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": 0.28,
              "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": 95.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.28,
              "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": 0.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 96,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "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": 0.28,
              "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": 96,
              "estimated_amount": 0.27
            },
            {
              "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": 0.25
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 0.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.28,
              "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": 95,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.28,
              "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": 0.28,
              "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": 67.4,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 97.8,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.24
            },
            {
              "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": 0.15
            }
          ]
        }
      ]
    },
    {
      "description": "Suspension Heel Boot With Wedge",
      "code_information": [
        {
          "code": "PX-CHDRM60300",
          "type": "CDM"
        },
        {
          "code": "E0191",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 53.19,
          "discounted_cash": 34.57,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 53.19,
              "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": 53.19,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.21
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 51.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 51.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 53.19,
              "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": 53.19,
              "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": 53.19,
              "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": 95.5,
              "estimated_amount": 50.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 53.19,
              "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": 53.19,
              "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": 95.4,
              "estimated_amount": 50.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 51.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 50.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 53.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.49
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 51.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.49
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 18.08
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 18.08
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 51.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.53
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 50.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 53.19,
              "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": 53.19,
              "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": 97.8,
              "estimated_amount": 52.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 29.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.53
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.49
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 51.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 51.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 53.19,
              "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": 95,
              "estimated_amount": 50.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.74
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 51.06
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 18.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 52.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.49
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 51.33
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.49
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 53.19,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.49
            },
            {
              "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": 46.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 29.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 51.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 51.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 50.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 53.19,
              "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": 53.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.74
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 53.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.53
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.49
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.53
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 51.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.53
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.53
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 18.08
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 18.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 53.19,
              "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": 29.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 50.8
            },
            {
              "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": 53.19,
              "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": 45.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 29.25
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 52.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 52.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.53
            },
            {
              "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": 95.4,
              "estimated_amount": 50.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 50.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 50.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 53.19,
              "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": 53.19,
              "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": 96,
              "estimated_amount": 51.06
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.53
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 53.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 51.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 29.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 50.53
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.21
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 50.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 50.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 50.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 50.8
            },
            {
              "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": 29.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 29.25
            }
          ]
        }
      ]
    },
    {
      "description": "Syringe Only 60cc Feeding Piston Enteral",
      "code_information": [
        {
          "code": "PX-CHDY4264",
          "type": "CDM"
        },
        {
          "code": "A4264",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.62,
          "discounted_cash": 0.4,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.59
            },
            {
              "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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 0.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.62,
              "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": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.62,
              "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": 95,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "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": 95.4,
              "estimated_amount": 0.59
            },
            {
              "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": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.61
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 0.6
            },
            {
              "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 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": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.59
            },
            {
              "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": 0.62,
              "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": 96,
              "estimated_amount": 0.6
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.6
            },
            {
              "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 OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "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": 95,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.59
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.6
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "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": "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.59
            },
            {
              "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": 0.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.59
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "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": 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 MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.62,
              "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": 95,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.61
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "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": "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 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 MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.62,
              "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": 96,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.21
            }
          ]
        }
      ]
    },
    {
      "description": "Gloves Nitrile Pwdr-Free Esnii Lrg Esteem Cardinal",
      "code_information": [
        {
          "code": "PX-CHA18857NLB",
          "type": "CDM"
        },
        {
          "code": "A4927",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.53,
          "discounted_cash": 0.34,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.47
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 97.8,
              "estimated_amount": 0.52
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.18
            },
            {
              "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 MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 0.45
            },
            {
              "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": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "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": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.29
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.51
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.5,
              "estimated_amount": 0.51
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.51
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.5
            },
            {
              "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": "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": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95,
              "estimated_amount": 0.5
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.51
            },
            {
              "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 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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.53
            },
            {
              "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": 0.29
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "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": 95.5,
              "estimated_amount": 0.51
            },
            {
              "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": "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": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.51
            },
            {
              "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": "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": "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": 0.53,
              "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": 95,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.18
            },
            {
              "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": "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "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": 95.5,
              "estimated_amount": 0.51
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.52
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.51
            },
            {
              "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": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.16
            }
          ]
        }
      ]
    },
    {
      "description": "2-Way Foley Cath 18fr 5 Cc",
      "code_information": [
        {
          "code": "PX-CHBA01685SI18",
          "type": "CDM"
        },
        {
          "code": "A4430",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 47.79,
          "discounted_cash": 31.06,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 45.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 45.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 45.88
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 40.62
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 45.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 46.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 46.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 45.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 47.79,
              "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": 96,
              "estimated_amount": 45.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45.59
            },
            {
              "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": 95.4,
              "estimated_amount": 45.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 46.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 45.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 45.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 47.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.81
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 32.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 40.62
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 45.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 47.79,
              "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": 47.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 45.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.81
            },
            {
              "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": 31.06
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 45.88
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 45.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 47.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 46.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 47.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.81
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 40.62
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 45.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 45.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 47.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.81
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 46.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 47.79,
              "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": 47.79,
              "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": 95.4,
              "estimated_amount": 45.59
            },
            {
              "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": 47.79,
              "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": 47.79,
              "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": 97.8,
              "estimated_amount": 46.74
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 16.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 47.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 47.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 46.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 45.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 47.79,
              "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": 26.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 46.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 46.12
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 46.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 45.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 47.79,
              "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": 40.62
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 40.62
            },
            {
              "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": 26.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 16.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.81
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 16.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 47.79,
              "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": 47.79,
              "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": 47.79,
              "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": 96,
              "estimated_amount": 45.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45.59
            },
            {
              "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": 42.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 46.74
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 16.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 16.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45.59
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45.4
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.81
            }
          ]
        }
      ]
    },
    {
      "description": "Catheter Lubricath 18 Fr 5 Cc Coude",
      "code_information": [
        {
          "code": "PX-CHBU0102L18",
          "type": "CDM"
        },
        {
          "code": "A4340",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 30.78,
          "discounted_cash": 20.01,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30.78,
              "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": 30.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.54
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 29.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30.78,
              "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": 30.78,
              "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": 95,
              "estimated_amount": 29.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 30.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.24
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30.78,
              "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": 30.78,
              "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": 30.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.54
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.55
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26.16
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 29.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 29.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 29.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 29.39
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26.16
            },
            {
              "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": 95.4,
              "estimated_amount": 29.36
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 30.78,
              "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": 95.4,
              "estimated_amount": 29.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.36
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 29.39
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.54,
              "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": 95,
              "estimated_amount": 29.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.54
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10.47
            },
            {
              "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": 30.78,
              "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": 95.4,
              "estimated_amount": 29.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 29.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 29.7
            },
            {
              "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": 30.78,
              "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": 27.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 29.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30.78,
              "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": 30.78,
              "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": 97.8,
              "estimated_amount": 30.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.24
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26.16
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.54,
              "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": 97.8,
              "estimated_amount": 30.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 30.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.93
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.54,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 29.39
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26.16
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 29.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 29.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30.78,
              "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": 30.78,
              "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": 30.78,
              "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": 95.4,
              "estimated_amount": 29.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 29.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30.78,
              "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": 30.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.54
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.54
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 29.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30.78,
              "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": 30.78,
              "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": 95,
              "estimated_amount": 29.24
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.24
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.93
            },
            {
              "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": 16.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 29.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 29.39
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.54
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 29.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 30.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.54
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 33.77,
          "discounted_cash": 21.95,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 32.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 32.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 32.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 32.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 32.25
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 32.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 32.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 32.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 32.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 33.77,
              "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": 33.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28.7
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 11.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 33.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 32.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 32.25
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.47
            },
            {
              "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": 29.72
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 32.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 33.77,
              "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": 33.77,
              "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": 18.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 32.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 32.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 11.48
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.47,
              "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": 97.8,
              "estimated_amount": 33.03
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 32.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 32.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 32.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 32.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 33.77,
              "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": 95,
              "estimated_amount": 32.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 32.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 32.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 32.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 32.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 33.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 33.77
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 32.42
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 32.42
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 32.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 33.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18.57
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 32.08
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 11.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 32.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 32.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 32.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 33.77,
              "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": 95.4,
              "estimated_amount": 32.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 32.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 32.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 33.77,
              "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": 33.77,
              "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": 33.77,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 11.48
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 32.08
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.47,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28.7
            },
            {
              "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": 95.4,
              "estimated_amount": 32.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 32.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 33.77,
              "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": 33.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.47,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 32.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 33.77,
              "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": 95,
              "estimated_amount": 32.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 32.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 32.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 33.77,
              "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": 96,
              "estimated_amount": 32.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 32.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 32.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 32.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.47
            },
            {
              "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": 33.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 32.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 32.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 32.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 96,
              "estimated_amount": 32.42
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 32.42
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 32.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 33.77,
              "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": 33.77,
              "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": 33.77,
              "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": 33.77,
              "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": 95,
              "estimated_amount": 32.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 33.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 32.08
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 32.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 32.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 33.77,
              "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": 18.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 32.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 11.48
            }
          ]
        }
      ]
    },
    {
      "description": "Briefs Simplicity Extra Adult Large",
      "code_information": [
        {
          "code": "PX-CHKN60044NP",
          "type": "CDM"
        },
        {
          "code": "T4523",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.38,
          "discounted_cash": 0.25,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.36
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.36
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 67.4,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.12
            },
            {
              "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": 0.33
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.36
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.37
            },
            {
              "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": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 0.36
            },
            {
              "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.21
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.37
            },
            {
              "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": 0.38,
              "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": 0.38,
              "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": 95.4,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.36
            },
            {
              "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 [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "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": 97.8,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.36
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.32
            },
            {
              "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": 0.21
            },
            {
              "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": "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/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 MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.36
            },
            {
              "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": 0.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.36
            },
            {
              "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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.12
            },
            {
              "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 MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.37
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.36
            },
            {
              "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"
            }
          ]
        }
      ]
    },
    {
      "description": "Intermittent Catheter Male 16 Fr",
      "code_information": [
        {
          "code": "PX-CHCV421568",
          "type": "CDM"
        },
        {
          "code": "A4351",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.34,
          "discounted_cash": 1.52,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.8
            },
            {
              "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": 2.34,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.34,
              "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": 96,
              "estimated_amount": 2.25
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.73,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.23
            },
            {
              "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": 2.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.34,
              "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": 2.34,
              "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": 95.5,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.34,
              "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": 95,
              "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": 1.99
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 1.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.34,
              "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": 2.34,
              "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": 2.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 97.8,
              "estimated_amount": 2.29
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.73,
              "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": 96,
              "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": 1.29
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.73,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 2.34,
              "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": 2.34,
              "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": 95,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.34,
              "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": 95,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.23
            },
            {
              "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": 2.34,
              "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": 95,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.34,
              "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": 2.34,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 1.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 97.8,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.34,
              "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": 96,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "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": 96.5,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.34,
              "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": 2.34,
              "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": 1.29
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 1.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.34,
              "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": 2.34,
              "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": 95,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.8
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 0.47,
          "discounted_cash": 0.31,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.47,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 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": 95.4,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.47,
              "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": 96,
              "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": 95.5,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.47,
              "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": 95,
              "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": 0.47
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.47,
              "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": 0.47,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.47,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.47,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 0.26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.47,
              "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": 95.4,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.47,
              "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": 0.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.15,
              "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": 0.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.41
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.47,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.15,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.15,
              "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": 95.4,
              "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": 96.5,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.47,
              "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": 0.47,
              "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": 0.47,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 97.8,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.5,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.47,
              "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": 0.47,
              "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": 0.47,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.47,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.47,
              "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": 0.26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.16
            },
            {
              "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": 0.47,
              "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": 0.47,
              "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": 95,
              "estimated_amount": 0.45
            }
          ]
        }
      ]
    },
    {
      "description": "HC Atxn1 Gene Detc Abnor Allele So",
      "code_information": [
        {
          "code": "PX-30000188",
          "type": "CDM"
        },
        {
          "code": "81178",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1377,
          "discounted_cash": 895.05,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1328.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "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": 1211.76
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1308.15
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.87,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1170.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1346.71
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.87
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 468.18
            },
            {
              "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": 895.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 757.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1308.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1170.45
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.87
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.87
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 468.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1328.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1308.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.87
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1308.15
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1170.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1328.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1308.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1308.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1308.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1170.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 468.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1308.15
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "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": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.87
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1328.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1308.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 757.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1346.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 757.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 757.35
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.87
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1308.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 468.18
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1308.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 137,
              "estimated_amount": 137
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1308.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1328.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 468.18
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.87,
              "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": 97.8,
              "estimated_amount": 1346.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1346.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 757.35
            },
            {
              "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": 757.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1308.15
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.87,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1328.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 757.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1308.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1328.81
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1170.45
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.87
            }
          ],
          "minimum": 137,
          "maximum": 137
        }
      ]
    },
    {
      "description": "HC Atxn2 Gene Detc Abnor Allele So",
      "code_information": [
        {
          "code": "PX-30000189",
          "type": "CDM"
        },
        {
          "code": "81179",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1377,
          "discounted_cash": 895.05,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1328.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1328.81
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1308.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 137,
              "estimated_amount": 137
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "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": 1211.76
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1308.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1308.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.87
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 468.18
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1170.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1346.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 757.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1308.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1308.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1308.15
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 468.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.87
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 468.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1328.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 757.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1308.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1308.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.87
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1170.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 757.35
            },
            {
              "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": 895.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1346.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 757.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1170.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 757.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "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": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1328.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1308.15
            },
            {
              "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": 757.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.87
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1170.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1308.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.87
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.87,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1328.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1308.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1170.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 468.18
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1328.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1346.71
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 468.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1346.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 757.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1308.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.87
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1308.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.87,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1313.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1308.15
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 426.87,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1328.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1321.92
            }
          ],
          "minimum": 137,
          "maximum": 137
        }
      ]
    },
    {
      "description": "Hspc Room and Bed Logan Elm",
      "code_information": [
        {
          "code": "PX-65900220",
          "type": "CDM"
        },
        {
          "code": "T2046",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 273.8,
          "discounted_cash": 177.97,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 261.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 261.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 264.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 264.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 273.8,
              "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": 96,
              "estimated_amount": 262.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 261.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 261.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 267.78
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 260.11
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 267.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 260.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 261.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 261.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 264.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 261.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 273.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 260.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 264.22
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.85
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 260.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 261.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 261.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 261.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 261.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 273.8,
              "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": 273.8,
              "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": 150.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 260.11
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.88
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 260.11
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 261.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 264.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 273.8,
              "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": 240.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 261.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 261.48
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 267.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 150.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.88
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 93.09
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 93.09
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 273.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 150.59
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 89.12,
              "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": 273.8,
              "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": 95,
              "estimated_amount": 260.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 150.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 150.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 261.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 261.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 273.8,
              "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": 273.8,
              "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": 95.4,
              "estimated_amount": 261.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 261.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 261.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 273.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.88
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 232.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 267.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 150.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 260.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 260.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 260.11
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 232.73
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 232.73
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 232.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 261.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 261.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 273.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 93.09
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 93.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 261.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 261.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 273.8,
              "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": 96,
              "estimated_amount": 262.85
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 273.8,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 85.73,
              "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": 273.8,
              "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": 95.5,
              "estimated_amount": 261.48
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.88
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 89.12,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 150.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 260.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 261.21
            },
            {
              "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": 95.4,
              "estimated_amount": 261.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 264.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 273.8,
              "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": 273.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.88
            },
            {
              "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": 273.8,
              "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": 95,
              "estimated_amount": 260.11
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 260.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 261.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 273.8,
              "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": 95,
              "estimated_amount": 260.11
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 262.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 261.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 264.22
            },
            {
              "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": 273.8,
              "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": 273.8,
              "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": 232.73
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 93.09
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.88
            }
          ]
        }
      ]
    },
    {
      "description": "Thickener Thick-It 36 0z Kent Original",
      "code_information": [
        {
          "code": "PX-CHPXJ585",
          "type": "CDM"
        },
        {
          "code": "B4100",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 24.72,
          "discounted_cash": 16.07,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.61
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 23.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.48
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.72,
              "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": 24.72,
              "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": 97.8,
              "estimated_amount": 24.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.48
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.72,
              "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": 96,
              "estimated_amount": 23.73
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.72,
              "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": 24.72,
              "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": 13.6
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 23.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 24.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 23.48
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 23.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.72,
              "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": 97.8,
              "estimated_amount": 24.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.48
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.72,
              "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": 21.01
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.48
            },
            {
              "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": 16.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23.85
            },
            {
              "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": 13.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.48
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.48
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23.85
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 16.66
            },
            {
              "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": 21.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.48
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 23.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.72,
              "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": 24.72,
              "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": 95,
              "estimated_amount": 23.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 24.18
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.72,
              "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": 95.4,
              "estimated_amount": 23.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.72,
              "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": 24.72,
              "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": 96,
              "estimated_amount": 23.73
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 23.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.72,
              "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": 24.72,
              "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": 24.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.58
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21.01
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 24.18
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Pouch Uro 2 1-4 in New Image Red",
      "code_information": [
        {
          "code": "PX-CHHO18923",
          "type": "CDM"
        },
        {
          "code": "A4432",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.28,
          "discounted_cash": 3.43,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.1
            },
            {
              "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": "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.02
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.04
            },
            {
              "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": 95.4,
              "estimated_amount": 5.04
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.04
            },
            {
              "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": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 97.8,
              "estimated_amount": 5.16
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 4.49
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.04
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.16
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.28,
              "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": 5.28,
              "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": 95,
              "estimated_amount": 5.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.02
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 5.04
            },
            {
              "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": "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": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.02
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.04
            },
            {
              "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": 2.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.02
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.8
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.04
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 4.49
            },
            {
              "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": 3.43
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 2.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.28,
              "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": 5.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.02
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.04
            },
            {
              "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": "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.04
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.64
            },
            {
              "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": 4.65
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.02
            }
          ]
        }
      ]
    },
    {
      "description": "30cc Foley Cath Insertion Tray",
      "code_information": [
        {
          "code": "PX-CHZRCIT30CCBZK",
          "type": "CDM"
        },
        {
          "code": "A4310",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.35,
          "discounted_cash": 1.53,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.24
            },
            {
              "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": 95.4,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 2.35,
              "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": 96,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.26
            },
            {
              "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.73
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.73,
              "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": 1.29
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 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": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.8
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.73,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.27
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.27
            },
            {
              "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": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.24
            },
            {
              "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": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.35,
              "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": 95,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.23
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.3
            },
            {
              "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": "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": 2.35,
              "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": 95.5,
              "estimated_amount": 2.24
            },
            {
              "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": "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": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.27
            },
            {
              "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": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.24
            },
            {
              "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/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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.24
            },
            {
              "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 CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.35,
              "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": 95,
              "estimated_amount": 2.23
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 2.35
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 2.23
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.24
            },
            {
              "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 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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.73,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.23
            },
            {
              "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": "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.24
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.8
            }
          ]
        }
      ]
    },
    {
      "description": "Leg Strap Fabric Wide 2 in Medium 13 in to 20 In",
      "code_information": [
        {
          "code": "PX-CHBA162210",
          "type": "CDM"
        },
        {
          "code": "A5114",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8.4,
          "discounted_cash": 5.46,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.4,
              "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": 4.62
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.98
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.4,
              "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": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.4,
              "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": 8.4,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 96,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.06
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.98
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.06
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 8.4,
              "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": 96,
              "estimated_amount": 8.06
            },
            {
              "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": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 8.4,
              "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": 8.4,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.06
            },
            {
              "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": "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": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.6
            },
            {
              "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": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.4,
              "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": 8.4,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.4,
              "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": 8.4,
              "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": 8.4,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 7.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.4,
              "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": 8.4,
              "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": 95,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 8.4,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.02
            },
            {
              "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 MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.4,
              "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": 5.46
            },
            {
              "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": 7.39
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.11
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 5.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.4,
              "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": 4.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.98
            }
          ]
        }
      ]
    },
    {
      "description": "Ted Stocking Knee-Length Xxl Regular",
      "code_information": [
        {
          "code": "PX-CHKN7470LF",
          "type": "CDM"
        },
        {
          "code": "A6549",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 17.02,
          "discounted_cash": 11.06,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 16.65
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.28
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 16.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 16.65
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.79
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.79
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16.25
            },
            {
              "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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 9.36
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16.17
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16.25
            },
            {
              "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": 17.02,
              "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": 96,
              "estimated_amount": 16.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 16.34
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16.17
            },
            {
              "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": 9.36
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.28
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16.42
            },
            {
              "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.28
            },
            {
              "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": 17.02,
              "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": 95,
              "estimated_amount": 16.17
            },
            {
              "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 (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.79
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 16.34
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 16.34
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16.17
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16.25
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16.24
            },
            {
              "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": 95.4,
              "estimated_amount": 16.24
            },
            {
              "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": "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 16.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16.17
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.28
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16.17
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16.25
            },
            {
              "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": "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": "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": "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16.17
            },
            {
              "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": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 16.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16.24
            },
            {
              "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16.25
            },
            {
              "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": "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16.25
            },
            {
              "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": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16.42
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.28
            },
            {
              "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": 14.98
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16.17
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 16.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16.25
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 16.34
            }
          ]
        }
      ]
    },
    {
      "description": "\"Protective Underwear Surecare Med 34\"\" to 46\"\" Moderate\"",
      "code_information": [
        {
          "code": "PX-CHKN1205",
          "type": "CDM"
        },
        {
          "code": "A4520",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.85,
          "discounted_cash": 0.55,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.85,
              "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": 95,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.85,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 0.47
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.81
            },
            {
              "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": 0.85,
              "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": 0.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.85,
              "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": 0.85,
              "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": 95,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.85,
              "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": 0.85,
              "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": 0.85,
              "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": 0.85,
              "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": 0.85,
              "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": 96,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.82
            },
            {
              "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": 0.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.85,
              "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": 0.85,
              "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": 96,
              "estimated_amount": 0.82
            },
            {
              "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": 0.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.85,
              "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": 95,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.85,
              "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": 96,
              "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": 0.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.47
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.85,
              "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": 95.4,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 67.4,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.29
            }
          ]
        }
      ]
    },
    {
      "description": "Fxn Gene Detc Abnor Alleles Sendout",
      "code_information": [
        {
          "code": "PX-30000191",
          "type": "CDM"
        },
        {
          "code": "81284",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2711,
          "discounted_cash": 1762.15,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2586.29
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 1827.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2575.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 840.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2589.01
            },
            {
              "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 OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 513.75,
              "estimated_amount": 513.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2602.56
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2575.45
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2304.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2651.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2575.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 840.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2651.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1491.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1491.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2575.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2575.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2586.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2586.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2586.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2616.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2589.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 513.75,
              "estimated_amount": 513.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 840.41
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 840.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 513.75,
              "estimated_amount": 513.75
            },
            {
              "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": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 513.75,
              "estimated_amount": 513.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 921.74
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 921.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2651.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1491.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2586.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2586.29
            },
            {
              "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": 2711
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2575.45
            },
            {
              "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": 95.4,
              "estimated_amount": 2586.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2616.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 513.75,
              "estimated_amount": 513.75
            },
            {
              "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": 2385.68
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2575.45
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2575.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2586.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2586.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2586.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2616.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2589.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2589.01
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2575.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2651.36
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2304.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2616.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 513.75,
              "estimated_amount": 513.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 513.75,
              "estimated_amount": 513.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2602.56
            },
            {
              "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": 1491.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2575.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2575.45
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2575.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2586.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2589.01
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2304.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2575.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2586.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2616.12
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 840.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2602.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2575.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 840.41
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2304.35
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2602.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2586.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2586.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2616.12
            },
            {
              "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": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2589.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2589.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1491.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2304.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2602.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2589.01
            },
            {
              "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": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 513.75,
              "estimated_amount": 513.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 513.75,
              "estimated_amount": 513.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 840.41
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2602.56
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 840.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1491.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 840.41
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 921.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2586.29
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2586.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2586.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2616.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2589.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1491.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 921.74
            },
            {
              "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": 1762.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2586.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2589.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 513.75,
              "estimated_amount": 513.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 921.74
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 840.41
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2602.56
            }
          ],
          "minimum": 513.75,
          "maximum": 513.75
        }
      ]
    },
    {
      "description": "Heart Valve 40",
      "code_information": [
        {
          "code": "PX-27800255",
          "type": "CDM"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 46411,
          "discounted_cash": 30167.15,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44276.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44322.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 43904.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25526.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44554.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44276.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44276.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 44786.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44322.51
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14387.41
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39449.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25526.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25526.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39449.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15779.74
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44554.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15779.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44276.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44322.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 43904.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 43904.81
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44090.45
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44090.45
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39449.35
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14387.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44090.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44090.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15779.74
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15779.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44276.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44276.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 43904.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 43904.81
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44554.56
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44090.45
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44090.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 45389.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 45389.96
            },
            {
              "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": 25526.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25526.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44090.45
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14387.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 44786.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44322.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44322.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44322.51
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14387.41
            },
            {
              "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": 95.4,
              "estimated_amount": 44276.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 44786.62
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14387.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25526.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44276.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44322.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44322.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 43904.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 43904.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 43904.81
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44554.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14387.41
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44554.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44276.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 44786.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44276.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44276.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 43904.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 43904.81
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 31281.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 46411
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15779.74
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14387.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44276.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 44786.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 43904.81
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44554.56
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44554.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44090.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44090.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44276.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44322.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 44786.62
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44090.45
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14387.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44276.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 43904.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 43904.81
            },
            {
              "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": 40841.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 45389.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44090.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44090.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44090.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14387.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 45389.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44090.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14387.41
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39449.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44276.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44276.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44276.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44322.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 43904.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
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              "standard_charge_percentage": 94.6,
              "estimated_amount": 43904.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 43904.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25526.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39449.35
            },
            {
              "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": 30167.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44276.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 44786.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 43904.81
            }
          ]
        }
      ]
    },
    {
      "description": "Heart Valve 41",
      "code_information": [
        {
          "code": "PX-27800256",
          "type": "CDM"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 47699,
          "discounted_cash": 31004.35,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45504.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45504.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 46029.54
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 96.5,
              "estimated_amount": 46029.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 46029.54
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 94.6,
              "estimated_amount": 45123.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
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              "standard_charge_percentage": 94.6,
              "estimated_amount": 45123.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 45791.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 47699
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45314.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45504.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 46029.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 45123.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 26234.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45314.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 45791.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 46649.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45314.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45504.85
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14786.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45504.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45504.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45504.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 45123.25
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 32149.13
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 45791.04
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45314.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 26234.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45314.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 40544.15
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 16217.66
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14786.69
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14786.69
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 40544.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 45552.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 45552.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 45123.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 45791.04
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45314.05
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 40544.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45314.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45314.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 45791.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 45552.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 45123.25
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14786.69
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45314.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45504.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 45552.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 45552.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 40544.15
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 45791.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 45552.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 45123.25
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14786.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 46649.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 26234.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45314.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45314.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45504.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45504.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45504.85
            },
            {
              "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": 95.4,
              "estimated_amount": 45504.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 45552.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 45552.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 45552.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45504.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45504.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 45123.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14786.69
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 16217.66
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 16217.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45504.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 45123.25
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45314.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14786.69
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 16217.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45504.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 46649.62
            },
            {
              "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": 26234.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 45123.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45504.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 46029.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 45123.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 45123.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 26234.45
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14786.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 26234.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45314.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45314.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 45504.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 46029.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 46029.54
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14786.69
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 40544.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 45123.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 45123.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 45123.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 45123.25
            },
            {
              "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": 41975.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 46649.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 26234.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14786.69
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 16217.66
            },
            {
              "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": 31004.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 45552.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 45123.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 45791.04
            }
          ]
        }
      ]
    },
    {
      "description": "\"Hydrofiber Silver Aquacel Ag 8\"\" X 12\"\" Antimicrobial\"",
      "code_information": [
        {
          "code": "PX-CHCV420679",
          "type": "CDM"
        },
        {
          "code": "A6198",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 106.61,
          "discounted_cash": 69.3,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 101.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 101.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 101.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 106.61,
              "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": 93.82
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 90.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 104.26
            },
            {
              "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": 58.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 101.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 101.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 101.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 90.62
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 102.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 101.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 101.28
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 104.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 104.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 58.64
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 102.35
            },
            {
              "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": 69.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 106.61,
              "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": 106.61,
              "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": 96,
              "estimated_amount": 102.35
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 101.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 101.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 101.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 102.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 102.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 101.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 101.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 101.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 106.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.05
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 71.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 58.64
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 104.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 101.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 102.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 101.81
            },
            {
              "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": 106.61,
              "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": 106.61,
              "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": 96,
              "estimated_amount": 102.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 102.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 101.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 106.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 101.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 101.81
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.05
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 101.28
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 36.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 101.28
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 101.28
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 90.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 102.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 106.61,
              "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": 106.61,
              "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": 90.62
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 102.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 101.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 101.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 101.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 106.61,
              "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": 96,
              "estimated_amount": 102.35
            },
            {
              "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": 95.4,
              "estimated_amount": 101.71
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.05
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 101.28
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 90.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 58.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 58.64
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 36.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 101.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 106.61,
              "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": 106.61,
              "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": 106.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 101.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 101.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 101.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 101.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 106.61,
              "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": 58.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 101.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 101.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 106.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 58.64
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 36.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 101.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 101.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 101.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 102.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 106.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 102.35
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 101.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 101.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 102.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 106.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 36.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 36.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 101.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 101.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 106.61,
              "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": 95,
              "estimated_amount": 101.28
            }
          ]
        }
      ]
    },
    {
      "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": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 35.42
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.38
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.87
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.87
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 35.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 35.23
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.87
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 35.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35.05
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35.01
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 35.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 35.42
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 35.89
            },
            {
              "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": 20.19
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.87
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 34.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 35.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35.05
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 35.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.7,
              "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": 95,
              "estimated_amount": 34.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.87
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 35.42
            },
            {
              "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/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 GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.7,
              "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": 67.4,
              "estimated_amount": 24.74
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 35.23
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 35.23
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.87
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35.05
            },
            {
              "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 MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.38
            },
            {
              "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": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.19
            },
            {
              "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": 23.86
            },
            {
              "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": "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35.01
            },
            {
              "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": 95.4,
              "estimated_amount": 35.01
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 35.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35.05
            },
            {
              "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": "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.87
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 35.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35.05
            },
            {
              "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": "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": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35.01
            },
            {
              "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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 35.89
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 35.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 35.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.7,
              "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": 97.8,
              "estimated_amount": 35.89
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.38
            }
          ]
        }
      ]
    },
    {
      "description": "Absorbtion Drsg Self Adaptive Enluxtra 6 in X 6 In",
      "code_information": [
        {
          "code": "PX-CHOSN55155C",
          "type": "CDM"
        },
        {
          "code": "A6197",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 25.09,
          "discounted_cash": 16.31,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.21
            },
            {
              "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": 25.09,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.84
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.78
            },
            {
              "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": 95.4,
              "estimated_amount": 23.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.09,
              "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": 25.09,
              "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": 95,
              "estimated_amount": 23.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21.33
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.09,
              "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": 95,
              "estimated_amount": 23.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.84
            },
            {
              "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": 25.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.78,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24.09
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.09,
              "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": 95,
              "estimated_amount": 23.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.09,
              "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": 25.09,
              "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": 25.09,
              "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": 13.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.78
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.78
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.78,
              "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": 25.09,
              "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": 96,
              "estimated_amount": 24.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 24.54
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.94
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.78
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.78,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.96
            },
            {
              "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": 25.09,
              "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": 97.8,
              "estimated_amount": 24.54
            },
            {
              "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": 13.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 24.54
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.09,
              "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": 25.09,
              "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": 97.8,
              "estimated_amount": 24.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.78
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.84
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.78
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.78
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24.09
            },
            {
              "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": 22.08
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 25.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.09,
              "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": 25.09,
              "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": 25.09,
              "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": 21.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.84
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.78
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.78
            }
          ]
        }
      ]
    },
    {
      "description": "\"Gauze Drsg Petrolatum Strip 5\"\" X 9\"\" Xeroform Overwrap\"",
      "code_information": [
        {
          "code": "PX-CHKN431605",
          "type": "CDM"
        },
        {
          "code": "A6266",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.23,
          "discounted_cash": 1.45,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.23,
              "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": 96,
              "estimated_amount": 2.14
            },
            {
              "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": 1.96
            },
            {
              "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": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69,
              "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": 95.5,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 2.23,
              "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": 2.23,
              "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": 95.4,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.23
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "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": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.23,
              "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": 97.8,
              "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": 1.23
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.23,
              "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": 96,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.23,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "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": 1.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 2.23,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69,
              "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": 1.23
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.23,
              "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": 95.4,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.12
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.12
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.23,
              "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": 2.23,
              "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": 2.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 97.8,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "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": 2.23,
              "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": 95.4,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.23,
              "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": 95,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.23,
              "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": 2.23,
              "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": 95,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.76
            },
            {
              "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": 2.23,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.23,
              "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": 2.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.14
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.23
            }
          ]
        }
      ]
    },
    {
      "description": "Cath 2 Way Silicone Elastomer Foley 18fr 10cc",
      "code_information": [
        {
          "code": "PX-CHMZ11758",
          "type": "CDM"
        },
        {
          "code": "A4338",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.19,
          "discounted_cash": 1.42,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.09
            },
            {
              "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": 2.19,
              "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": 97.8,
              "estimated_amount": 2.14
            },
            {
              "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": 1.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.14
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 1.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.08
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.19,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.09
            },
            {
              "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": "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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.68
            },
            {
              "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.19,
              "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": 96,
              "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": 96,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.09
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 2.19
            },
            {
              "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": 95.4,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.09
            },
            {
              "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": "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": 2.19,
              "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": 1.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.09
            },
            {
              "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": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.09
            },
            {
              "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/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"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 1.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 2.09
            },
            {
              "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": "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": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.11
            },
            {
              "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": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.68,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.09
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 2.19,
              "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": 97.8,
              "estimated_amount": 2.14
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.68,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.68,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "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": 95.4,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.09
            },
            {
              "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": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.19,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.09
            },
            {
              "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": 1.93
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.08
            }
          ]
        }
      ]
    },
    {
      "description": "Matrix Drsg Collagen 2 in X 2 in Colactive",
      "code_information": [
        {
          "code": "PX-CHHA10160000",
          "type": "CDM"
        },
        {
          "code": "A6021",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6.38,
          "discounted_cash": 4.15,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.38,
              "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": 6.38,
              "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": 6.38,
              "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": 6.38,
              "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": 97.8,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.06
            },
            {
              "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": 6.38,
              "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": 3.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.38,
              "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": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "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": 95.4,
              "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": 96.5,
              "estimated_amount": 6.16
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.38,
              "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": 6.38,
              "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": 6.38,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.38,
              "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": 96,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 6.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.09
            },
            {
              "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": 6.38,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.16
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 5.42
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.42
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98,
              "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": 95.5,
              "estimated_amount": 6.09
            },
            {
              "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": 6.38,
              "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": 96,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 97.8,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.16
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98,
              "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": 5.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.38,
              "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": 6.38,
              "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": 6.38,
              "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": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.24
            },
            {
              "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": 3.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 6.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.38,
              "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": 96,
              "estimated_amount": 6.12
            },
            {
              "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": 5.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.38,
              "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": 6.38,
              "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": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.12
            }
          ]
        }
      ]
    },
    {
      "description": "Drainage of Complicated Finger Abscess",
      "code_information": [
        {
          "code": "PX-45000254",
          "type": "CDM"
        },
        {
          "code": "26011",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1835,
          "discounted_cash": 1192.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1750.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1752.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1835,
              "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": 95,
              "estimated_amount": 1743.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1743.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1743.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1559.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1750.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1750.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1770.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1770.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1752.43
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1761.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1743.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1743.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 568.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 568.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 623.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1009.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1752.43
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 1236.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1750.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1750.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1770.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1752.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1835,
              "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": 1835,
              "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": 96,
              "estimated_amount": 1761.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1794.63
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1559.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1835
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1743.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1743.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 568.85
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 623.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1750.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1750.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1752.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1835,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 568.85
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 568.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1009.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1743.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1761.6
            },
            {
              "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": 95.4,
              "estimated_amount": 1750.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1835,
              "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": 1835,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1770.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1770.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1752.43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1794.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1009.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1009.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1743.25
            },
            {
              "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": 1192.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1009.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 623.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1750.59
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1743.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 568.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1770.78
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 568.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1559.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1835,
              "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": 1614.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1743.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 623.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1743.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1752.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1835,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1761.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1743.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1761.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1761.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1750.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1750.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1750.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1835,
              "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": 1835,
              "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": 95,
              "estimated_amount": 1743.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1750.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1750.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1750.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1770.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1835,
              "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": 1559.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 623.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1750.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1752.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1835,
              "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": 1835,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 568.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1559.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1794.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1009.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1750.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1750.59
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 568.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1752.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1752.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1835,
              "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": 96,
              "estimated_amount": 1761.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1835,
              "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": 1835,
              "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": 97.8,
              "estimated_amount": 1794.63
            },
            {
              "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": 1009.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1835,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 568.85
            }
          ]
        }
      ]
    },
    {
      "description": "\"Asorbtion Drsg Drawtex 8\"\" X 39\"\"\"",
      "code_information": [
        {
          "code": "PX-CHELTA00307",
          "type": "CDM"
        },
        {
          "code": "A6198",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 109.14,
          "discounted_cash": 70.94,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 104.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 105.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 104.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 109.14,
              "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": 92.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 104.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.68
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 37.11
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 104.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 104.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 109.14,
              "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": 109.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.83
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.68
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 104.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 105.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 104.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 109.14,
              "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": 96,
              "estimated_amount": 104.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.68
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 37.11
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 37.11
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 104.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 104.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 104.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 109.14,
              "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": 109.14,
              "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": 96.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 109.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 60.03
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 37.11
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 104.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 104.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 109.14,
              "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": 109.14,
              "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": 109.14,
              "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": 96,
              "estimated_amount": 104.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 106.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.68
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 104.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 104.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 104.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 104.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 105.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 105.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 104.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 109.14,
              "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": 60.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.83
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 92.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 104.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 104.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 109.14,
              "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": 109.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 105.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 105.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 109.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.83
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.68
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 104.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 60.03
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 92.77
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 106.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 106.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 60.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 60.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 104.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 104.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 104.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 104.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 109.14,
              "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": 95,
              "estimated_amount": 103.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 106.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 60.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.68
            },
            {
              "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": 70.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 104.12
            },
            {
              "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": 60.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 105.32
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 104.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 104.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 92.77
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 104.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 104.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 104.23
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 104.77
            },
            {
              "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": 95.4,
              "estimated_amount": 104.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 104.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 109.14,
              "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": 109.14,
              "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": 92.77
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 37.11
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 109.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.83
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 73.56
            }
          ]
        }
      ]
    },
    {
      "description": "Triple Antibiotic Ointment 1 Oz Tube",
      "code_information": [
        {
          "code": "PX-CHDY1185",
          "type": "CDM"
        },
        {
          "code": "A6250",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.71,
          "discounted_cash": 2.41,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.71,
              "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": 96,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95.4,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 3.71,
              "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": 95,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.71,
              "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": 3.71,
              "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": 3.71,
              "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": 3.71,
              "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": 95,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.71,
              "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": 3.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 3.71,
              "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": 3.71,
              "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": 3.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.15
            },
            {
              "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": 2.04
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.71,
              "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": 95,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.71,
              "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": 97.8,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.71,
              "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": 95,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 2.04
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.71,
              "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": 3.71,
              "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": 3.71,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.56
            },
            {
              "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": 95.4,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.71,
              "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": 95,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 96.5,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.15
            },
            {
              "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": 3.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 3.52
            },
            {
              "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": 3.71,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "Perineal Cleanser Sensi-Care 8 Oz",
      "code_information": [
        {
          "code": "PX-CHCV401883",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.91,
          "discounted_cash": 3.19,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.68
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.69
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.52
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.69
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.66
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.69
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.71
            },
            {
              "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": 4.91,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.8
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.66
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.66
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.74
            },
            {
              "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": "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": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.69
            },
            {
              "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.66
            },
            {
              "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": 95.4,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.68
            },
            {
              "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.52
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.66
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.66
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 4.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.74
            },
            {
              "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": "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": "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.69
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.8
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.67
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.91,
              "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": 95.4,
              "estimated_amount": 4.68
            },
            {
              "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 [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.8
            },
            {
              "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": "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.66
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.69
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.66
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.66
            },
            {
              "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": 4.91,
              "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": 95,
              "estimated_amount": 4.66
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.71
            },
            {
              "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": 4.32
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 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 [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.69
            }
          ]
        }
      ]
    },
    {
      "description": "Catheter Silicone Elastomer 16 Fr 5 Cc",
      "code_information": [
        {
          "code": "PX-CHBA365716",
          "type": "CDM"
        },
        {
          "code": "A4338",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8.17,
          "discounted_cash": 5.31,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.17,
              "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": 95,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.17,
              "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": 8.17,
              "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": 8.17,
              "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": 8.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 8.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.88
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8.17,
              "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": 4.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.17,
              "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": 96,
              "estimated_amount": 7.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.84
            },
            {
              "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": 7.19
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.79
            },
            {
              "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": 95.4,
              "estimated_amount": 7.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 7.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 8.17,
              "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": 6.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.8
            },
            {
              "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": 8.17,
              "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": 8.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 8.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 6.94
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.17,
              "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": 4.49
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 96.5,
              "estimated_amount": 7.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 7.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.8
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.17,
              "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": 8.17,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.17,
              "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": 8.17,
              "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": 96,
              "estimated_amount": 7.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.17,
              "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": 8.17,
              "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": 8.17,
              "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": 95,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.53,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 1.28,
          "discounted_cash": 0.83,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.22
            },
            {
              "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": "BUCKEYE COMMUNITY 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": 95,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 1.28,
              "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": 0.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.22
            },
            {
              "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 DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.25
            },
            {
              "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": 0.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.24
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.22
            },
            {
              "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/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": "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 GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.22
            },
            {
              "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": 95.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.4
            },
            {
              "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": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.24
            },
            {
              "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": "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": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 1.28,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 1.09
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 97.8,
              "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": 0.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.22
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "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": 95.5,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.22
            },
            {
              "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 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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.24
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 1.28,
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 1.09
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.22
            },
            {
              "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 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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.4,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 2.13,
          "discounted_cash": 1.38,
          "payers_information": [
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 2.13,
              "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": 97.8,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.02
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.02
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.06
            },
            {
              "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": 2.13,
              "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": 1.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.02
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 2.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.04
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.02
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.03
            },
            {
              "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": "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 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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.04
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.06
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.03
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 2.02
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.66,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.03
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 2.03
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.5,
              "estimated_amount": 2.03
            },
            {
              "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": "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.02
            },
            {
              "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": 95.4,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.03
            },
            {
              "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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.08
            },
            {
              "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": 1.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.03
            },
            {
              "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.02
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.02
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.66,
              "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": 96.5,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.03
            },
            {
              "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": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.13,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.66
            },
            {
              "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": 1.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.03
            },
            {
              "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": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.66,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.02
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.02
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 1.81
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.81
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Pre Cut Ext Wear Cvx 1 1-2 in New Image",
      "code_information": [
        {
          "code": "PX-CHHO14908",
          "type": "CDM"
        },
        {
          "code": "A4407",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 14.24,
          "discounted_cash": 9.26,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.41
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.53
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.41
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.67
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.41
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.41
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.53
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.24,
              "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": 96,
              "estimated_amount": 13.67
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.53
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.24,
              "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": 7.83
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.24,
              "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": 14.24,
              "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": 14.24,
              "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": 96,
              "estimated_amount": 13.67
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.41,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.24,
              "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": 14.24,
              "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": 95,
              "estimated_amount": 13.53
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 14.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.24,
              "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": 14.24,
              "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": 14.24,
              "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": 95.4,
              "estimated_amount": 13.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.24,
              "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": 97.8,
              "estimated_amount": 13.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.83
            },
            {
              "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": 14.24,
              "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": 95.4,
              "estimated_amount": 13.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.74
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.41
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.1
            },
            {
              "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": 7.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.53
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.24,
              "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": 14.24,
              "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": 12.53
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.24,
              "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": 14.24,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.53
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.41,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.84
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.41
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.24,
              "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": 14.24,
              "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": 97.8,
              "estimated_amount": 13.93
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.53
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 13.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.67
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.41
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.53
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.84
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.41,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "Contact Drsg Ag Restore 6 in X 8 In",
      "code_information": [
        {
          "code": "PX-CHEL509342",
          "type": "CDM"
        },
        {
          "code": "A6207",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 38.31,
          "discounted_cash": 24.9,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 36.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 38.31,
              "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": 38.31,
              "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": 95,
              "estimated_amount": 36.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 36.39
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.78
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 38.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.88
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 36.39
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32.56
            },
            {
              "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": 21.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32.56
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 13.03
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 21.07
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 38.31,
              "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": 38.31,
              "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": 96.5,
              "estimated_amount": 36.97
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 13.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 37.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 21.07
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.88
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 36.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 21.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 38.31,
              "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": 38.31,
              "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": 38.31,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.88
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.88,
              "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": 95.4,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 36.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 38.31,
              "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": 38.31,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.78
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.88
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 36.39
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32.56
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.88,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 36.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 37.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 37.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 36.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 36.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 36.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 36.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 38.31,
              "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": 96,
              "estimated_amount": 36.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 36.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 36.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 38.31,
              "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": 38.31,
              "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": 38.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32.56
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 21.07
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 13.03
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 36.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 36.97
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.88
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 13.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 36.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 21.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 36.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 36.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 36.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 36.59
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.88
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 13.03
            },
            {
              "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": 38.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 36.97
            },
            {
              "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": 33.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 37.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 36.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 36.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 36.55
            },
            {
              "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": 95.4,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 36.55
            },
            {
              "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": 38.31,
              "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": 38.31,
              "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": 95.4,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 36.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 38.31,
              "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": 96,
              "estimated_amount": 36.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 38.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 21.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 36.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 36.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.88
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 36.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 36.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 38.31,
              "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": 38.31,
              "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": 95,
              "estimated_amount": 36.39
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.88,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.78
            }
          ]
        }
      ]
    },
    {
      "description": "Catheter Silicone Elastomer 24 Fr 5 Cc",
      "code_information": [
        {
          "code": "PX-CHKN402724",
          "type": "CDM"
        },
        {
          "code": "A4338",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.17,
          "discounted_cash": 2.06,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.02
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 1.74
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 1.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 97.8,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "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": 95.4,
              "estimated_amount": 3.02
            },
            {
              "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": "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 1.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 1.74
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 3.17,
              "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": 96.5,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 1.74
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.03
            },
            {
              "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": 2.79
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.04
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.98,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.02
            },
            {
              "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 MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.98
            },
            {
              "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 MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.08
            },
            {
              "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": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 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": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.02
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.5,
              "estimated_amount": 3.03
            },
            {
              "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 GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "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": 96,
              "estimated_amount": 3.04
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.98,
              "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": 95,
              "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": 95.5,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.03
            },
            {
              "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": "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": "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 HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.04
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 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": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 1.74
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.98,
              "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": 96,
              "estimated_amount": 3.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 3.17,
              "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": 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": "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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.04
            },
            {
              "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": 3.17,
              "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": 95,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.98
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 1.28,
          "discounted_cash": 0.83,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.44
            },
            {
              "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": 0.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.22
            },
            {
              "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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.22
            },
            {
              "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": 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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.4
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.22
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.22
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 97.8,
              "estimated_amount": 1.25
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.4
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.22
            },
            {
              "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": 95.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 96,
              "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": 1.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.22
            },
            {
              "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": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.25
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 0.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.24
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.22
            },
            {
              "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": "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 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": "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 OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.24
            },
            {
              "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/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": "BUCKEYE COMMUNITY 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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.23
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.22
            },
            {
              "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 GEHA [625285]",
              "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": 67.4,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.4
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 1.09
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.4,
              "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": 1.28,
              "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": 1.28,
              "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": 96,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.22
            },
            {
              "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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "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": 95,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.4
            }
          ]
        }
      ]
    },
    {
      "description": "Abd Pad Non Sterile Curity 5 in X 9 In",
      "code_information": [
        {
          "code": "PX-CHKN6196D",
          "type": "CDM"
        },
        {
          "code": "A6217",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.13,
          "discounted_cash": 0.08,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.13,
              "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": 0.13,
              "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": 0.07
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.13,
              "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": 96,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.12
            },
            {
              "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": 95.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.13,
              "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": 0.13,
              "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": 97.8,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.13,
              "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": 0.13,
              "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": 0.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.11
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.12
            },
            {
              "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": 0.13,
              "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": 0.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "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": 95.5,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.13,
              "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": 0.13,
              "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": 0.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.12
            },
            {
              "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": 0.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.13
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.13,
              "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": 0.13,
              "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": 0.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 0.09
            },
            {
              "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": 0.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.13,
              "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": 96,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.13,
              "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": 0.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.12
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.12
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.12
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.12
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Ctf Ext Wear Up to 1 3-4 in New Image",
      "code_information": [
        {
          "code": "PX-CHHO15603",
          "type": "CDM"
        },
        {
          "code": "A4409",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 9.56,
          "discounted_cash": 6.21,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.56,
              "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": 9.56,
              "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": 9.56,
              "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": 8.41
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.08
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.56,
              "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": 9.56,
              "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": 9.56,
              "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": 95,
              "estimated_amount": 9.08
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.13
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.23
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 96,
              "estimated_amount": 9.18
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.18
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.08
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.56,
              "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": 9.56,
              "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": 95,
              "estimated_amount": 9.08
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.13
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.96,
              "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": 95.4,
              "estimated_amount": 9.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.96,
              "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": 9.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.26
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.18
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.56,
              "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": 9.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.26
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.13
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.25
            },
            {
              "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": 9.56,
              "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": 8.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.56,
              "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": 5.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.13
            },
            {
              "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": 9.56,
              "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": 95,
              "estimated_amount": 9.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.96,
              "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": 95.4,
              "estimated_amount": 9.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.56,
              "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": 9.56,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.12
            },
            {
              "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": 95.4,
              "estimated_amount": 9.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 9.56,
              "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": 9.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.56,
              "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": 97.8,
              "estimated_amount": 9.35
            },
            {
              "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": 5.26
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.18
            }
          ]
        }
      ]
    },
    {
      "description": "Transparent Drsg Opsite Post OP 4 in X 10 In",
      "code_information": [
        {
          "code": "PX-CHUN66000714",
          "type": "CDM"
        },
        {
          "code": "A6204",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6,
          "discounted_cash": 3.9,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 95.5,
              "estimated_amount": 5.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6,
              "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": 95,
              "estimated_amount": 5.7
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 96,
              "estimated_amount": 5.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.76
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.04
            },
            {
              "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": 3.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.86
            },
            {
              "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": 3.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.73
            },
            {
              "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": 5.28
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.87
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6,
              "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": 96,
              "estimated_amount": 5.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6,
              "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": 95.4,
              "estimated_amount": 5.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.73
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 6,
              "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": 96,
              "estimated_amount": 5.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "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,
              "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": 95,
              "estimated_amount": 5.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.79
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 5.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.79
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 67.4,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 97.8,
              "estimated_amount": 5.87
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 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": 95,
              "estimated_amount": 5.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 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": 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": 6,
              "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": 96,
              "estimated_amount": 5.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.72
            },
            {
              "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": 95.4,
              "estimated_amount": 5.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6,
              "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
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.7
            }
          ]
        }
      ]
    },
    {
      "description": "Revascularization Endovascular Lithotr Atherectomy Tib per Angio",
      "code_information": [
        {
          "code": "PX-36101038",
          "type": "CDM"
        },
        {
          "code": "C9774",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 15698,
          "discounted_cash": 10203.7,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14975.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14975.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14975.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14991.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15698,
              "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": 96,
              "estimated_amount": 15070.08
            },
            {
              "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": 13814.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4866.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14975.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15148.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14991.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14991.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8633.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14913.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13343.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8633.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14975.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14991.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14991.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15698,
              "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": 15698,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4866.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14975.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15148.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15698,
              "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": 15698,
              "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": 13343.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8633.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14913.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4866.38
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5337.32
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15070.08
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5337.32
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4866.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14975.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15148.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14991.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15698,
              "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": 97.8,
              "estimated_amount": 15352.64
            },
            {
              "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": 8633.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14913.1
            },
            {
              "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": 10203.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15148.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15698,
              "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": 95,
              "estimated_amount": 14913.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14975.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14975.89
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15070.08
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15070.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4866.38
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5337.32
            },
            {
              "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": 95.4,
              "estimated_amount": 14975.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14975.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15698,
              "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": 13343.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8633.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13343.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15148.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15148.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15698,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14975.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14975.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14991.59
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4866.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15352.64
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5337.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15698,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4866.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14991.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15698,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4866.38
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15070.08
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4866.38
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14913.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8633.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14913.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14913.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14975.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15698,
              "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": 15698,
              "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": 15698,
              "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": 95.4,
              "estimated_amount": 14975.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14975.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15698,
              "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": 95,
              "estimated_amount": 14913.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14913.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5337.32
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14913.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13343.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15070.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15698,
              "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": 95,
              "estimated_amount": 14913.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4866.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14975.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15148.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14991.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15698,
              "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": 67.4,
              "estimated_amount": 10580.45
            },
            {
              "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": 15698,
              "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": 96,
              "estimated_amount": 15070.08
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14913.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15352.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15352.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8633.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14975.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14991.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14913.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14913.1
            }
          ]
        }
      ]
    },
    {
      "description": "Suction Cath Closed 10 Fr",
      "code_information": [
        {
          "code": "PX-CHIMC55CSC110T",
          "type": "CDM"
        },
        {
          "code": "A4605",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 18.04,
          "discounted_cash": 11.73,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.23
            },
            {
              "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": 18.04,
              "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": 18.04,
              "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": 18.04,
              "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": 18.04,
              "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": 9.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.04,
              "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": 18.04,
              "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": 96,
              "estimated_amount": 17.32
            },
            {
              "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": 9.92
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.59
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.13
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.32
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 17.64
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.23
            },
            {
              "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": 15.88
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.04,
              "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": 9.92
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 95,
              "estimated_amount": 17.14
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.13
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.21
            },
            {
              "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": 95.4,
              "estimated_amount": 17.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.04,
              "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": 18.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 18.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.21
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.59
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.04,
              "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": 18.04,
              "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": 18.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.59
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 17.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 17.64
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 15.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.23
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.21
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.04,
              "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": 18.04,
              "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": 95,
              "estimated_amount": 17.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.14
            },
            {
              "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": 11.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.59
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.13
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.14
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.59
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.04,
              "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": 97.8,
              "estimated_amount": 17.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.23
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 12.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.32
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 17.23
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 17.41
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.59
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 17.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 17.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 17.14
            }
          ]
        }
      ]
    },
    {
      "description": "\"Foam Drsg Adhesive Silicone Cardinal 4\"\" X 8\"\" Border\"",
      "code_information": [
        {
          "code": "PX-CH55BFM48",
          "type": "CDM"
        },
        {
          "code": "A6213",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.5,
          "discounted_cash": 3.57,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.5,
              "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": 96,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.87
            },
            {
              "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": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.5,
              "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": 5.5,
              "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": 5.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.5,
              "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": 5.5,
              "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": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.5,
              "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": 4.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.38
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "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": 5.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.38
            },
            {
              "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": 3.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "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": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.5,
              "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": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.87
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.87
            },
            {
              "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": 5.5,
              "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": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.5,
              "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": 5.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.5,
              "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": 5.5,
              "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": 5.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 5.5,
              "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": 96,
              "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": 96.5,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.5,
              "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": 5.5,
              "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": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.5,
              "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": 4.84
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.87
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.5,
              "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": 5.5,
              "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": 3.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "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": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.03
            }
          ]
        }
      ]
    },
    {
      "description": "Wrap Paste Zinc-Oxide 3 in Unna Boot",
      "code_information": [
        {
          "code": "PX-CHGN3001",
          "type": "CDM"
        },
        {
          "code": "A6456",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6.12,
          "discounted_cash": 3.98,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 5.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.91
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 4.12
            },
            {
              "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": 5.39
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.81
            },
            {
              "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": 3.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 5.81
            },
            {
              "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": 3.98
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.12,
              "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": 6.12,
              "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": 6.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.12,
              "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": 95,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.91
            },
            {
              "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": 6.12,
              "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": 96,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.12,
              "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": 6.12,
              "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": 97.8,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.12,
              "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": 95.4,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.12,
              "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": 95.4,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.12,
              "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": 3.37
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95.4,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.12,
              "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": 95,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.12,
              "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": 97.8,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 6.12,
              "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": 5.2
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.9
            }
          ]
        }
      ]
    },
    {
      "description": "Ag Silicone Foam W Border 4 X 4",
      "code_information": [
        {
          "code": "PX-CHHA15200000",
          "type": "CDM"
        },
        {
          "code": "A6212",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 9.79,
          "discounted_cash": 6.36,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.34
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 9.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.38
            },
            {
              "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": 5.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.03,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.79,
              "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": 9.79,
              "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": 96,
              "estimated_amount": 9.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.34
            },
            {
              "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": 95.4,
              "estimated_amount": 9.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.79,
              "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": 9.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.79,
              "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": 9.79,
              "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": 5.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.38
            },
            {
              "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": 9.79,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.79,
              "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": 96,
              "estimated_amount": 9.4
            },
            {
              "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": 8.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.34
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.4
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.3
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.79,
              "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": 9.79,
              "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": 97.8,
              "estimated_amount": 9.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.79,
              "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.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.03,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.03,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.79,
              "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": 9.79,
              "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": 5.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 9.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.79,
              "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": 9.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 9.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.79,
              "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": 95,
              "estimated_amount": 9.3
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.79,
              "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": 9.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.03
            },
            {
              "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": 9.79,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.79,
              "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": 95,
              "estimated_amount": 9.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9.57
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.33
            }
          ]
        }
      ]
    },
    {
      "description": "IDE G180263 iCLAS AF CRYOABLATION SYSTEM",
      "code_information": [
        {
          "code": "PX-62400241",
          "type": "CDM"
        },
        {
          "code": "C2623",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1,
          "discounted_cash": 0.65,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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": 1,
              "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": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "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": 1,
              "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": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 0.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "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 GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "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 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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 0.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "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": "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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": "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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,
              "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": 0.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "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 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/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "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,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "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 STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "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 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": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "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": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "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": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "Attachment Device Leg Tube Medium Adhesive",
      "code_information": [
        {
          "code": "PX-CHDN301002",
          "type": "CDM"
        },
        {
          "code": "A4334",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.08,
          "discounted_cash": 2,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.08,
              "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": 3.08,
              "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": 1.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 3.08
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.95,
              "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": 3.08,
              "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": 3.08,
              "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": 3.08,
              "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": 95.4,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 1.69
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2.71
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.01
            },
            {
              "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": 3.08,
              "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": 1.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.08,
              "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": 96,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.94
            },
            {
              "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": 3.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.08,
              "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": 95,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.08,
              "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": 3.08,
              "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": 3.08,
              "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": 96,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.96
            },
            {
              "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": 1.69
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.62
            },
            {
              "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": 95.4,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.08,
              "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": 3.08,
              "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": 3.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.94
            },
            {
              "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": 3.08,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.08,
              "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": 3.08,
              "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": 1.69
            }
          ]
        }
      ]
    },
    {
      "description": "Slipper Socks Suregrip Camel Lrg 1 Ea = a Pair",
      "code_information": [
        {
          "code": "PX-CHSL275LG",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 10.21,
          "discounted_cash": 6.64,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.74
            },
            {
              "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": 95.4,
              "estimated_amount": 9.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.85
            },
            {
              "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 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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.17
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.17
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 10.21,
              "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": 5.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.74
            },
            {
              "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 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 OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "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": 10.21,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.17
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.7
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.75
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.62
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.17
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.8
            },
            {
              "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 BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.75
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.74
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.8
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.75
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.75
            },
            {
              "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": "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": "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": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.75
            },
            {
              "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 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": "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.17
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 8.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.17
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.75
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.8
            },
            {
              "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": 8.98
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.7
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.17
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.85
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "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": 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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.17
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9.99
            }
          ]
        }
      ]
    },
    {
      "description": "Catheter External Latex Standard W Adh Strap Uri-Drain",
      "code_information": [
        {
          "code": "PX-CHSH732500",
          "type": "CDM"
        },
        {
          "code": "A4349",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.11,
          "discounted_cash": 0.72,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.11,
              "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": 95,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "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": 95.5,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.11,
              "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": 67.4,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.11,
              "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": 1.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 1.11,
              "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": 1.11,
              "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": 1.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.07
            },
            {
              "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": 0.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.11,
              "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": 1.11,
              "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": 95.4,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.11,
              "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": 1.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.61
            },
            {
              "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": 0.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.11,
              "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": 1.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.11,
              "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": 96,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.11,
              "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": 1.11,
              "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": 1.11,
              "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": 0.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.38
            },
            {
              "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": 0.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 1.11,
              "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": 97.8,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.94
            }
          ]
        }
      ]
    },
    {
      "description": "\"Gelling Fiber Dressing 4\"\" X 4.75\"\"\"",
      "code_information": [
        {
          "code": "PX-CH55RGFB45",
          "type": "CDM"
        },
        {
          "code": "A6197",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.53,
          "discounted_cash": 1.64,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.42
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 96,
              "estimated_amount": 2.43
            },
            {
              "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": "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.5,
              "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": 2.53,
              "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": 2.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 2.47
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.41
            },
            {
              "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": 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": "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": "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.43
            },
            {
              "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": 95.4,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.44
            },
            {
              "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": "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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.44
            },
            {
              "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": "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 MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78
            },
            {
              "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78,
              "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": 95.4,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78,
              "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": 95,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.53,
              "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": 2.53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.86
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.41
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.41
            },
            {
              "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": "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.41
            },
            {
              "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": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78,
              "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": 2.53
            },
            {
              "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": "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": 2.53,
              "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": 2.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.44
            },
            {
              "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "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": 2.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.42
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.4
            }
          ]
        }
      ]
    },
    {
      "description": "Percutaneous Balloon Angioplasty Pulmnary Each Addtl Vessel",
      "code_information": [
        {
          "code": "PX-48000083",
          "type": "CDM"
        },
        {
          "code": "92998",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4453,
          "discounted_cash": 2894.45,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4248.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2449.15
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1380.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4297.15
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1380.43
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4230.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4230.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3785.05
            },
            {
              "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": 2894.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2449.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4230.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1380.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4248.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4297.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4453,
              "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": 4453,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4252.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4252.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4453,
              "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": 96,
              "estimated_amount": 4274.88
            },
            {
              "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": 2449.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1380.43
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1380.43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4355.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4230.35
            },
            {
              "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": 95.4,
              "estimated_amount": 4248.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4252.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4252.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4252.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4453,
              "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": 2449.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3785.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4248.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4252.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4252.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4453,
              "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": 4453,
              "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": 3918.64
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3785.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4297.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4453,
              "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": 95,
              "estimated_amount": 4230.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4230.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1380.43
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4230.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1514.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4453
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2449.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4230.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4230.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3785.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4274.88
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4274.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4248.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4453,
              "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": 95,
              "estimated_amount": 4230.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1514.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4453,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4297.15
            },
            {
              "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": 4453,
              "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": 4453,
              "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": 95,
              "estimated_amount": 4230.35
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3785.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4230.35
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1380.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4248.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4252.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4252.62
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4274.88
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1514.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4248.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4248.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4248.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4248.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4248.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4453,
              "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": 95.4,
              "estimated_amount": 4248.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4248.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4355.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4252.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4453,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1380.43
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1380.43
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4274.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2449.15
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1514.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4453,
              "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": 4453,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1380.43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4355.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4355.03
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1514.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2449.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4248.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4297.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4297.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4297.15
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4274.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4248.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4248.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4248.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4248.16
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 3001.32
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4230.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4274.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4453,
              "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": 4453,
              "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": 95,
              "estimated_amount": 4230.35
            }
          ]
        }
      ]
    },
    {
      "description": "Implant Impella Device 5.5",
      "code_information": [
        {
          "code": "PX-27800268",
          "type": "CDM"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 126752,
          "discounted_cash": 82388.8,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120921.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 122315.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 121048.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 121048.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 119907.39
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 121681.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 123963.46
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 39293.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 120414.4
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 43095.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 120414.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 107739.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 121048.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 121048.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 119907.39
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 121681.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 122315.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 122315.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 119907.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 119907.39
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 121681.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 69713.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 39293.12
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 121681.92
            },
            {
              "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": 82388.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 69713.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 121681.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120921.41
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 120414.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120921.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 119907.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 119907.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120921.41
            },
            {
              "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": 95.4,
              "estimated_amount": 120921.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 119907.39
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 120414.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 69713.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 120414.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 120414.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 120414.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 69713.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120921.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120921.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120921.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 119907.39
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 39293.12
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 121681.92
            },
            {
              "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": 69713.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 120414.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 107739.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 122315.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 122315.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 119907.39
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 120414.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120921.41
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 43095.68
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 107739.2
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 39293.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120921.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 122315.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 121048.16
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 39293.12
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 39293.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 126752
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 69713.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 120414.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 39293.12
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 43095.68
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 121681.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120921.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120921.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120921.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 122315.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 119907.39
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 107739.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120921.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 123963.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 123963.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 121048.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 119907.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 119907.39
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 120414.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 121048.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 119907.39
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 39293.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 69713.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 120414.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 39293.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 43095.68
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 39293.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 43095.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 121048.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 119907.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 119907.39
            },
            {
              "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": 111541.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120921.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120921.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120921.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 121048.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 119907.39
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 85430.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 107739.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 123963.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 120921.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 121048.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 119907.39
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 120414.4
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 120414.4
            }
          ]
        }
      ]
    },
    {
      "description": "\"Wrap Self-Adherent Coban Blue 1\"\" X 5 Yda\"",
      "code_information": [
        {
          "code": "PX-CH3M1581B",
          "type": "CDM"
        },
        {
          "code": "A6453",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.71,
          "discounted_cash": 1.11,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 1.71,
              "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": 95,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.71,
              "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": 1.71,
              "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": 0.94
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.45
            },
            {
              "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": 95.4,
              "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": 95.4,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 1.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.58
            },
            {
              "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": 1.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.71,
              "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": 0.94
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 67.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 97.8,
              "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": 0.94
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 97.8,
              "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": 95,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 1.71,
              "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": 96,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.94
            },
            {
              "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": 0.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 97.8,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.71,
              "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": 1.71,
              "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": 1.71,
              "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": 95,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.5,
              "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": 1.71,
              "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": 1.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.71,
              "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": 1.71,
              "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": 1.71,
              "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": 1.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.71,
              "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": 95,
              "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": 95,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.58
            }
          ]
        }
      ]
    },
    {
      "description": "\"Tray Suture Removal Presource 4.5\"\" Straight Iris Scissors\"",
      "code_information": [
        {
          "code": "PX-CH55067100",
          "type": "CDM"
        },
        {
          "code": "A4649",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.49,
          "discounted_cash": 0.97,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.49,
              "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": 1.49,
              "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": 1.49,
              "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": 96,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 1.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.42
            },
            {
              "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": 95.4,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.49,
              "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": 1.49,
              "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": 96.5,
              "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": 1.49,
              "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": 96,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.27
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 1.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.49,
              "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": 1.49,
              "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": 1.31
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.49,
              "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": 1.49,
              "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": 96,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46,
              "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": 0.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 1.49,
              "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": 1.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "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": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 1.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 1.49,
              "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": 97.8,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.49,
              "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": 1.49,
              "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": 95,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.49,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "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": 96.5,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95.5,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46
            }
          ]
        }
      ]
    },
    {
      "description": "Graft 5x7 Cm Fish-Skin Omega3 Wound per Sq Cm",
      "code_information": [
        {
          "code": "PX-27200542",
          "type": "CDM"
        },
        {
          "code": "Q4158",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 131,
          "discounted_cash": 85.15,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 124.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 124.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 125.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 131,
              "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": 96,
              "estimated_amount": 125.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 125.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 124.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 124.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 40.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 124.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 124.97
            },
            {
              "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": "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": "BUCKEYE COMMUNITY 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": "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "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": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 44.54
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 125.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 124.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 125.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 125.11
            },
            {
              "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 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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 124.45
            },
            {
              "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": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 125.11
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 40.61
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 40.61
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 40.61,
              "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": 72.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 124.45
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 40.61
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 72.05
            },
            {
              "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": "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": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 111.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 44.54
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 40.61
            },
            {
              "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": 95.4,
              "estimated_amount": 124.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 126.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 125.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 124.97
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 40.61
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 124.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 128.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 128.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 124.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 40.61
            },
            {
              "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": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 124.45
            },
            {
              "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": 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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 40.61,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 125.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 124.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 126.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 125.11
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 126.42
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 40.61
            },
            {
              "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": 85.15
            },
            {
              "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": 131,
              "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": 95.4,
              "estimated_amount": 124.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 126.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 125.11
            },
            {
              "payer_name": "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 72.05
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 124.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 44.54
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 44.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 126.42
            },
            {
              "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": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 125.76
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 111.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 124.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 126.42
            },
            {
              "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": "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 124.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 40.61
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 124.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 124.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 124.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 126.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 131,
              "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": 96,
              "estimated_amount": 125.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 128.12
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 124.45
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 40.61,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 128.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 124.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 44.54
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 124.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 124.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 125.11
            },
            {
              "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 OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 131,
              "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": 95,
              "estimated_amount": 124.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 125.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 125.11
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 88.29
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 131,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 124.45
            },
            {
              "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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 40.61
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 125.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 124.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 124.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 124.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 124.97
            },
            {
              "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": "MOLINA 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"
            }
          ]
        }
      ]
    },
    {
      "description": "Depend Underwear Men Max Absorb Large Fit Flex",
      "code_information": [
        {
          "code": "PX-CHKC53745",
          "type": "CDM"
        },
        {
          "code": "A4520",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8.45,
          "discounted_cash": 5.49,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.07
            },
            {
              "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": 4.65
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.45,
              "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": 8.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.45,
              "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": 97.8,
              "estimated_amount": 8.26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 4.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.45,
              "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": 8.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 67.4,
              "estimated_amount": 5.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 7.18
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.11
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.18
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.11
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.45,
              "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": 7.44
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.11
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.03
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.45,
              "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": 8.45,
              "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": 8.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.45,
              "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": 95,
              "estimated_amount": 8.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.45,
              "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": 95,
              "estimated_amount": 8.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.45,
              "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": 5.49
            },
            {
              "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": 8.45,
              "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": 8.45,
              "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": 97.8,
              "estimated_amount": 8.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.03
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.07
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 7.18
            }
          ]
        }
      ]
    },
    {
      "description": "Instillation Chest Tube/Cath Agent Fibrinolysis Subsequent Day",
      "code_information": [
        {
          "code": "PX-36000081",
          "type": "CDM"
        },
        {
          "code": "32562",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1198,
          "discounted_cash": 778.7,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1142.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1198,
              "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": 95,
              "estimated_amount": 1138.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1171.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1142.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1156.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1144.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1198,
              "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": 1198,
              "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": 1018.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1150.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1138.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 371.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 371.38
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1138.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1142.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1142.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1142.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1156.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1198,
              "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": 95.4,
              "estimated_amount": 1142.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1142.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1142.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1156.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1198,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 371.38
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 807.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1171.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1171.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1138.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1138.1
            },
            {
              "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": 778.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1018.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1156.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1198,
              "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": 96,
              "estimated_amount": 1150.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1138.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1138.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1138.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 371.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1144.09
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1150.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1142.89
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 407.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 658.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 658.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1142.89
            },
            {
              "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": 95.4,
              "estimated_amount": 1142.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1142.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1144.09
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 371.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1138.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 407.32
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 371.38
            },
            {
              "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": 1054.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1142.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1144.09
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1138.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 658.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 371.38
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 371.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 658.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 407.32
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 407.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1156.07
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1150.08
            },
            {
              "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": 658.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 658.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 371.38
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1150.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1142.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1144.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1144.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1198,
              "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": 1198,
              "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": 1198,
              "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": 95.4,
              "estimated_amount": 1142.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1171.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1144.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1144.09
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1138.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1138.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1198,
              "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": 1198,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1150.08
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1138.1
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1018.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 658.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 407.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1138.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1018.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1142.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1144.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1198,
              "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": 1198,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 371.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1142.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1142.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1156.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1156.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1144.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1198,
              "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": 1198,
              "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": 1018.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1198,
              "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": 96,
              "estimated_amount": 1150.08
            },
            {
              "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": 1198,
              "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": 1198,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "\"Leg Bag Dispoz-a-Bag 18\"\" Ext Flip Flo Valve\"",
      "code_information": [
        {
          "code": "PX-CHBA150832",
          "type": "CDM"
        },
        {
          "code": "A4358",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 7.74,
          "discounted_cash": 5.03,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.74,
              "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": 96,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.35
            },
            {
              "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": 7.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.74,
              "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": 95.4,
              "estimated_amount": 7.38
            },
            {
              "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": 95.4,
              "estimated_amount": 7.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.39
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.58
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7.74,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.4,
              "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": 95,
              "estimated_amount": 7.35
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.74,
              "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": 96,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.74,
              "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": 7.74,
              "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": 97.8,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 4.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.39
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.35
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.74,
              "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": 7.74,
              "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": 96.5,
              "estimated_amount": 7.47
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.26
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 7.74
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.74,
              "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": 7.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.4
            },
            {
              "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": 7.74,
              "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": 95.4,
              "estimated_amount": 7.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.39
            },
            {
              "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": 7.74,
              "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": 95,
              "estimated_amount": 7.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.74,
              "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": 7.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.35
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.26
            },
            {
              "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": 4.26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 7.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.74,
              "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": 7.74,
              "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": 6.81
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.74,
              "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": 6.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.74,
              "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": 4.26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.4
            }
          ]
        }
      ]
    },
    {
      "description": "\"Alginate Ag Silver Maxorb Ag 4\"\" X 8\"\"\"",
      "code_information": [
        {
          "code": "PX-CHMZMSC9448",
          "type": "CDM"
        },
        {
          "code": "A6197",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 22.82,
          "discounted_cash": 14.83,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 21.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 21.77
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 21.68
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 21.77
            },
            {
              "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": 95.4,
              "estimated_amount": 21.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 22.02
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 22.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 21.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.82,
              "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": 22.82,
              "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": 95,
              "estimated_amount": 21.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 21.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.82,
              "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": 12.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 21.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 21.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 21.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 21.68
            },
            {
              "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": 22.82,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 21.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 21.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 21.79
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.07
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 21.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 21.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 22.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.82,
              "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": 96,
              "estimated_amount": 21.91
            },
            {
              "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": 20.08
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 21.68
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 21.68
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.07
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.07
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 21.68
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.4
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.07,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 21.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 22.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 21.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.82,
              "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": 22.82,
              "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": 22.82,
              "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": 95,
              "estimated_amount": 21.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 21.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 21.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 21.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 21.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.82,
              "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": 22.82,
              "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": 22.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.07,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 21.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 21.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 21.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 21.79
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.07
            },
            {
              "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": 22.82,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 21.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 22.32
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 21.68
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.07,
              "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": 96,
              "estimated_amount": 21.91
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.07
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 21.68
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 21.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 21.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.82,
              "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": 22.82,
              "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": 95.4,
              "estimated_amount": 21.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 21.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 21.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.82,
              "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": 96,
              "estimated_amount": 21.91
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 22.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 22.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.82,
              "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": 96,
              "estimated_amount": 21.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 21.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 21.77
            },
            {
              "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": 12.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 22.32
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 22.02
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 21.91
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.07
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 21.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 21.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 22.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 22.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.82,
              "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": 22.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.07
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 22.82,
              "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": 97.8,
              "estimated_amount": 22.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 21.77
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.4
            }
          ]
        }
      ]
    },
    {
      "description": "\"Mepilex Flex Bdr Self Adh Drsg Absorbant Foam 3\"\" X 3\"\"\"",
      "code_information": [
        {
          "code": "PX-CHSC595200",
          "type": "CDM"
        },
        {
          "code": "A6212",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6.79,
          "discounted_cash": 4.41,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.79,
              "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": 96,
              "estimated_amount": 6.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.52
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 6.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.79,
              "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": 6.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 3.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.1
            },
            {
              "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": 6.79,
              "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": 5.77
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.77
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.48
            },
            {
              "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": 6.79,
              "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": 5.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.1,
              "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": 3.73
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.79,
              "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": 96,
              "estimated_amount": 6.52
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.79,
              "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": 6.79,
              "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": 6.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.79,
              "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": 6.79,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.45
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.77
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.73
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.1,
              "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": 95.4,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 6.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.79,
              "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": 6.79,
              "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": 6.79,
              "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": 6.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.79,
              "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": 6.79,
              "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": 3.73
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.45
            }
          ]
        }
      ]
    },
    {
      "description": "Foam Drsg Non-Adhesive Allevyn Life 8 in X 8 In",
      "code_information": [
        {
          "code": "PX-CHUN66801750",
          "type": "CDM"
        },
        {
          "code": "A6211",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 54.59,
          "discounted_cash": 35.48,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 54.59,
              "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": 96,
              "estimated_amount": 52.41
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 52.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 53.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 30.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 30.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 30.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 51.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 30.02
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 52.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 52.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 52.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 54.59,
              "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": 54.59,
              "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": 46.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.92
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.92
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 51.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 54.59,
              "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": 95,
              "estimated_amount": 51.86
            },
            {
              "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": 95.4,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 52.13
            },
            {
              "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": 54.59,
              "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": 54.59,
              "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": 54.59,
              "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": 95,
              "estimated_amount": 51.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 52.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 54.59,
              "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": 96,
              "estimated_amount": 52.41
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 51.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 53.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 53.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 51.86
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 52.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 52.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 54.59,
              "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": 54.59,
              "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": 96,
              "estimated_amount": 52.41
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 51.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 30.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 54.59,
              "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": 54.59,
              "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": 48.04
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 52.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 52.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 54.59,
              "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": 30.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 51.86
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 18.56
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 52.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 53.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 51.86
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 51.86
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 52.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 52.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 54.59,
              "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": 95,
              "estimated_amount": 51.86
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 18.56
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 54.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 52.68
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 51.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 52.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 54.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 54.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 51.86
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 18.56
            },
            {
              "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": 35.48
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 18.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 52.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 54.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 52.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 52.13
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 36.79
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 52.41
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.92
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 18.56
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 52.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 52.13
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.92
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 16.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 30.02
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.4
            }
          ]
        }
      ]
    },
    {
      "description": "\"Sterile Gauze Fluff Rolls 4\"\" X 4-18 Yds Lf\"",
      "code_information": [
        {
          "code": "PX-CH68441106",
          "type": "CDM"
        },
        {
          "code": "A6446",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.98,
          "discounted_cash": 0.64,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.94
            },
            {
              "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 NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.98,
              "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": 0.98,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.3,
              "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": 95.4,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.94
            },
            {
              "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": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 97.8,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.95
            },
            {
              "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 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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.95
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.83
            },
            {
              "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": 0.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.98,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.54
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.5,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.94
            },
            {
              "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": "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/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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.95
            },
            {
              "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": 0.98,
              "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": 0.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.94
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.3
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.96
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.3,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.94
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.3,
              "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": 95,
              "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": 0.54
            },
            {
              "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": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.94
            },
            {
              "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 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": "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": "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": "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": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.98,
              "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": 95,
              "estimated_amount": 0.93
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.93
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.94
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.93
            }
          ]
        }
      ]
    },
    {
      "description": "\"Standard Wear Wafer Ctf 5\"\" X 5\"\" Lf\"",
      "code_information": [
        {
          "code": "PX-CHEI7205214",
          "type": "CDM"
        },
        {
          "code": "A4414",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.77,
          "discounted_cash": 2.45,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 3.77,
              "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": 3.77,
              "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": 3.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.77,
              "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": 3.77,
              "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": 3.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.69
            },
            {
              "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": 2.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 2.07
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "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": 3.77,
              "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": 3.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.62
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.77,
              "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": 3.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 3.58
            },
            {
              "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": 3.77,
              "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": 2.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.77,
              "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": 95,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 3.2
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.17,
              "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": 3.77,
              "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": 3.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.6
            },
            {
              "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": 3.77,
              "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": 3.77,
              "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": 96,
              "estimated_amount": 3.62
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.17,
              "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": 97.8,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.77,
              "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": 96,
              "estimated_amount": 3.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.77,
              "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": 95,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 3.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 3.6
            },
            {
              "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": 3.77,
              "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": 95,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.17,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.77,
              "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": 3.77,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 3.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.2
            },
            {
              "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": 3.32
            }
          ]
        }
      ]
    },
    {
      "description": "\"Gauze Pads Sterile Curity 12-Ply 4 X 4\"\" Lf\"",
      "code_information": [
        {
          "code": "PX-CHKN6309",
          "type": "CDM"
        },
        {
          "code": "A6402",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.19,
          "discounted_cash": 0.12,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.19,
              "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": 0.19,
              "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": 0.16
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.06,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.06,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.19,
              "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": 0.19,
              "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": 95,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 97.8,
              "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": 0.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.19,
              "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": 0.19,
              "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": 96,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.19,
              "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": 0.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 97.8,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 0.18
            },
            {
              "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": 0.19,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 96,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.16
            },
            {
              "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 HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.19,
              "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": 0.19,
              "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": 95.4,
              "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": 96.5,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.19,
              "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": 96,
              "estimated_amount": 0.18
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.19,
              "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": 0.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.19,
              "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": 0.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.18
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.18
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 96.5,
              "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": 95.5,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.16
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.06,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.19,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 0.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.18
            },
            {
              "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": 0.19,
              "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": 0.19,
              "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": 0.19,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "\"Protective Underwear Max Ab Men Large/Xlarge 45-58\"\" Lf\"",
      "code_information": [
        {
          "code": "PX-CHA1UWMLXL18",
          "type": "CDM"
        },
        {
          "code": "T4527",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.61,
          "discounted_cash": 0.4,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.58
            },
            {
              "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": 0.61,
              "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": 0.61,
              "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": 97.8,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.61,
              "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": 97.8,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.61,
              "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": 0.61,
              "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": 0.52
            },
            {
              "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": 0.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.61,
              "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": 95,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.58
            },
            {
              "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": 95.4,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.59
            },
            {
              "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": 0.4
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "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": 0.54
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.61,
              "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": 0.61,
              "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": 95,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.61,
              "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": 0.61,
              "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": 95,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.61,
              "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": 0.61,
              "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": 0.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.61,
              "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": 0.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.61,
              "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": 0.61,
              "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": 96,
              "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": 0.34
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.19
            }
          ]
        }
      ]
    },
    {
      "description": "Radiation Therapy Bladder Cancer Ro Model 90 Day Episode",
      "code_information": [
        {
          "code": "PX-33300069",
          "type": "CDM"
        },
        {
          "code": "M1075",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1,
          "discounted_cash": 0.65,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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": 0.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "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": 0.65
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "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": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "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 MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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": 0.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 0.97
            },
            {
              "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": 0.88
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "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": 95,
              "estimated_amount": 0.95
            }
          ]
        }
      ]
    },
    {
      "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": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.43
            },
            {
              "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": 95.4,
              "estimated_amount": 11.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.44
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.56
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.72
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.44
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 8.07
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.98,
              "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": 97.8,
              "estimated_amount": 11.72
            },
            {
              "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 MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.43
            },
            {
              "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": "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": "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": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.5
            },
            {
              "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": 11.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 10.18
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.56
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.72
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.44
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.38
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.44
            },
            {
              "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/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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.44
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 96,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.43
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.71
            },
            {
              "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": 6.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.71
            },
            {
              "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": 7.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.44
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.38
            },
            {
              "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": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.43
            },
            {
              "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": "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": "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.5
            },
            {
              "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* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.59
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 11.98,
              "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": 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 CHOICE [625225]",
              "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.72
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.18
            }
          ]
        }
      ]
    },
    {
      "description": "Wound Measuring Guide",
      "code_information": [
        {
          "code": "PX-CHDMRULERS",
          "type": "CDM"
        },
        {
          "code": "A4649",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.03,
          "discounted_cash": 0.02,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.03,
              "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": 95,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 97.8,
              "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": 95.4,
              "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": 95,
              "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": 95,
              "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": 0.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.03,
              "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": 0.03,
              "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": 0.03,
              "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": 95,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "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": 95.5,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.03,
              "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": 0.03,
              "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": 96,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.03,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.01
            },
            {
              "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": 0.03,
              "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": 0.03
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 97.8,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95.4,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "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": 0.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.03,
              "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": 0.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.03,
              "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": 0.03,
              "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": 0.03,
              "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": 0.02
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.03,
              "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": 96,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.03,
              "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": 0.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "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": 96.5,
              "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": 95.5,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.03
            },
            {
              "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": 0.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 96,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01,
              "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": 0.03,
              "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": 95,
              "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": 95,
              "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": 0.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "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": 95.4,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.03
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95.4,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.03,
              "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": 0.03,
              "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": 0.03
            }
          ]
        }
      ]
    },
    {
      "description": "Thermal Destruction Intraosseous Bvn 1st 2 Lmbr Sac",
      "code_information": [
        {
          "code": "PX-36101051",
          "type": "CDM"
        },
        {
          "code": "64628",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 32850,
          "discounted_cash": 21352.5,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31338.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31338.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31371.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10183.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 31207.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 11169
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 32127.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18067.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 31536
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32850,
              "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": 32850,
              "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": 32850,
              "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": 32850,
              "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": 67.4,
              "estimated_amount": 22140.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 31700.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32850,
              "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": 95,
              "estimated_amount": 31207.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 31207.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 11169
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 31700.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 31700.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32850,
              "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": 32850,
              "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": 96,
              "estimated_amount": 31536
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 28908
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31338.9
            },
            {
              "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": 95.4,
              "estimated_amount": 31338.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31338.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31338.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31371.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32850,
              "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": 32850,
              "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": 95.4,
              "estimated_amount": 31338.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31338.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31338.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31371.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31371.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32850,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10183.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18067.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 31207.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10183.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27922.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10183.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18067.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10183.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 11169
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10183.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 31536
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 31536
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 31207.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 31207.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27922.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 31536
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31338.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31338.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 31700.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32850,
              "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": 32850,
              "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": 95.5,
              "estimated_amount": 31371.75
            },
            {
              "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": 32850,
              "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": 32850,
              "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": 18067.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 31207.5
            },
            {
              "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": 32850,
              "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": 18067.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 10183.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 11169
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 31700.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31371.75
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 31207.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 32850
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 31700.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31371.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32850,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10183.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 31536
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31338.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31338.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32850,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10183.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27922.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 31207.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 31207.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10183.5
            },
            {
              "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": 32850,
              "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": 32850,
              "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": 32850,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 10183.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 31207.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 32127.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 31207.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 11169
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 31207.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27922.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 32127.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18067.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 31207.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31338.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31338.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31338.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 31700.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31371.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31371.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32850,
              "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": 32850,
              "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": 96,
              "estimated_amount": 31536
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 32850,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31338.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31371.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10183.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27922.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 32127.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18067.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27922.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 10183.5,
              "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": 21352.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31338.9
            }
          ]
        }
      ]
    },
    {
      "description": "Injection Bone Sub Matrl Into Subchondral Bone Defect",
      "code_information": [
        {
          "code": "PX-36101058",
          "type": "CDM"
        },
        {
          "code": "0707T",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5222,
          "discounted_cash": 3394.3,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4981.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4981.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4981.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4981.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5039.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4987.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5222,
              "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": 95,
              "estimated_amount": 4960.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4960.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4981.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5222,
              "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": 95,
              "estimated_amount": 4960.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1618.82
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1618.82
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5013.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4960.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4981.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5222,
              "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": 4438.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5039.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5222,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5013.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2872.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2872.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4960.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4438.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4960.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5039.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5222,
              "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": 96,
              "estimated_amount": 5013.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1618.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4981.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4987.01
            },
            {
              "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": 5222,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1618.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4981.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4987.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5222,
              "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": 2872.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1775.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5107.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5039.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4987.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5222,
              "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": 97.8,
              "estimated_amount": 5107.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1618.82
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4438.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1775.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4981.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5039.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5222,
              "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": 96,
              "estimated_amount": 5013.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4981.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4981.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5039.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5222,
              "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": 5222,
              "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": 67.4,
              "estimated_amount": 3519.63
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4960.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1775.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2872.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5013.12
            },
            {
              "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": 95.4,
              "estimated_amount": 4981.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4987.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4987.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5222,
              "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": 5222,
              "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": 95,
              "estimated_amount": 4960.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2872.1
            },
            {
              "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": 2872.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4960.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1618.82
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1775.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4981.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4981.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4981.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5039.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4987.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5222,
              "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": 5222,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1618.82
            },
            {
              "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": 4595.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4981.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2872.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5222,
              "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": 96,
              "estimated_amount": 5013.12
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4438.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4960.9
            },
            {
              "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": 3394.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4987.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4960.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5222,
              "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": 95,
              "estimated_amount": 4960.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4438.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4981.79
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1618.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4981.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4987.01
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1618.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4987.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5222,
              "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": 97.8,
              "estimated_amount": 5107.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5107.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4960.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4960.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5013.12
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1618.82
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1775.48
            }
          ]
        }
      ]
    },
    {
      "description": "Removal Pulse Generator Only Isdss",
      "code_information": [
        {
          "code": "PX-48000096",
          "type": "CDM"
        },
        {
          "code": "0682T",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13813,
          "discounted_cash": 8978.45,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13177.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13177.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13177.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13177.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13177.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13329.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13191.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13813,
              "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": 11741.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13509.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13122.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11741.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11741.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13260.48
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13260.48
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13260.48
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4282.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 13813
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13122.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13122.35
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4282.03
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4696.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4282.03
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4696.42
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13122.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13260.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13813,
              "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": 95,
              "estimated_amount": 13122.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13177.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13177.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13813,
              "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": 97.8,
              "estimated_amount": 13509.11
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4282.03
            },
            {
              "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": 7597.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7597.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13177.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13177.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7597.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7597.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13122.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13191.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13177.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13329.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13191.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13191.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13509.11
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4282.03
            },
            {
              "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": 8978.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13329.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13191.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13813,
              "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": 13813,
              "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": 12155.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7597.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13122.35
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13260.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13177.6
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 9309.96
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11741.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13191.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13813,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4282.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4282.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13122.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4696.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13177.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13177.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13177.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13813,
              "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": 7597.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13122.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13329.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13191.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13813,
              "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": 13813,
              "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": 95,
              "estimated_amount": 13122.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13177.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13329.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13813,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4282.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13122.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4696.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13191.42
            },
            {
              "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": 13813,
              "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": 13813,
              "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": 13813,
              "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": 96,
              "estimated_amount": 13260.48
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13122.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4696.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13122.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11741.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13329.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13191.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13813,
              "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": 95.4,
              "estimated_amount": 13177.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13177.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13329.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13813,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13260.48
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4282.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13177.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13191.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13813,
              "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": 13813,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4282.03
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13122.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13509.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7597.15
            }
          ]
        }
      ]
    },
    {
      "description": "\"Idodoform Packing Strip 1/2\"\" X 5yd\"",
      "code_information": [
        {
          "code": "PX-CHMZ256125",
          "type": "CDM"
        },
        {
          "code": "A6266",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.29,
          "discounted_cash": 3.44,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.29,
              "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": 2.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.29,
              "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": 96,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5.29,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.64
            },
            {
              "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": 2.91
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.29,
              "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": 5.29,
              "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": 95,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.64,
              "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": 96,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.29,
              "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": 5.29,
              "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": 4.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.03
            },
            {
              "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": 5.29,
              "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": 95.5,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.29,
              "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": 5.29,
              "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": 95.4,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.64,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 97.8,
              "estimated_amount": 5.17
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 5.29,
              "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": 5.29,
              "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": 96,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.29,
              "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": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.64,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.29,
              "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": 95,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.1
            },
            {
              "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": 95.4,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.29,
              "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": 96,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.8
            },
            {
              "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": 5.29,
              "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": 96,
              "estimated_amount": 5.08
            },
            {
              "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": 5.29,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 4.66
            }
          ]
        }
      ]
    },
    {
      "description": "Toothbrush Standard Extra Soft",
      "code_information": [
        {
          "code": "PX-CH55OCTBADXS1",
          "type": "CDM"
        },
        {
          "code": "A9286",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.08,
          "discounted_cash": 0.05,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.08,
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 0.08
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "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": 95.4,
              "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": 96.5,
              "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": 95,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.08,
              "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": 0.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "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": "AVALON HEALTHREACH OH [540410]",
              "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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 0.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.08
            },
            {
              "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": "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.08,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 0.08
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.08,
              "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": 95.4,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.08,
              "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": 0.08,
              "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": 97.8,
              "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": 95,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 97.8,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "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": 0.08,
              "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": 0.08,
              "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": 0.08,
              "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": 0.07
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.08,
              "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": "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": "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.03
            },
            {
              "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 MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "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": 0.08,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.07
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "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": 96,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            }
          ]
        }
      ]
    },
    {
      "description": "\"Sterile Gauze Fluff Rolls 2-1/4\"\" X 3 Yds\"",
      "code_information": [
        {
          "code": "PX-CH68441100",
          "type": "CDM"
        },
        {
          "code": "A6445",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.25,
          "discounted_cash": 0.16,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.25,
              "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": 97.8,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 0.25,
              "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": 0.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.25,
              "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": 0.22
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.21
            },
            {
              "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": 95.4,
              "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": 95.4,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 96,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.25,
              "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": 0.25,
              "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": 95,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.14
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95.4,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "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": 0.25,
              "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": 0.25,
              "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": 97.8,
              "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": 95,
              "estimated_amount": 0.24
            },
            {
              "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": 0.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.25,
              "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": 0.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.24
            },
            {
              "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": 0.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.25,
              "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": 0.25,
              "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": 0.25,
              "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": 67.4,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.24
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 95.4,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.25,
              "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": 96,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.24
            }
          ]
        }
      ]
    },
    {
      "description": "Ear Foam Wrap",
      "code_information": [
        {
          "code": "PX-CHA1002016",
          "type": "CDM"
        },
        {
          "code": "A4615",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.92,
          "discounted_cash": 1.25,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 1.92,
              "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": 97.8,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.92,
              "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": 1.92,
              "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": 1.92,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 1.92,
              "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": 95.4,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.92,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.92,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "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": 95,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.92,
              "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": 96,
              "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": 96,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.6
            },
            {
              "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": 1.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.92,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.65
            },
            {
              "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": 95.4,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 1.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.92,
              "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": 1.92,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 1.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.6
            },
            {
              "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": 1.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.92,
              "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": 1.92
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 1.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.92,
              "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": 1.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 1.63
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 1.92,
              "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": 1.92,
              "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": 1.92,
              "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": 1.92,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 3.01,
          "discounted_cash": 1.96,
          "payers_information": [
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.01,
              "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": 96,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.01,
              "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": 2.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.01,
              "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": 95.4,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.01,
              "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": 3.01,
              "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": 95,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 2.56
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.93,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.93,
              "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": 2.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 97.8,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.9
            },
            {
              "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": 3.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.01,
              "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": 3.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.01,
              "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": 3.01,
              "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": 3.01,
              "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": 95,
              "estimated_amount": 2.86
            },
            {
              "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": 1.66
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.01,
              "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": 3.01,
              "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": 96,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.87
            },
            {
              "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": 95.4,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.01,
              "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": 3.01,
              "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": 3.01,
              "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": 95,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.93,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.66
            },
            {
              "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": 3.01,
              "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": 96,
              "estimated_amount": 2.89
            }
          ]
        }
      ]
    },
    {
      "description": "Nuclear Mitochondrial 100 Gene Genomic Seq Sendout",
      "code_information": [
        {
          "code": "PX-30000239",
          "type": "CDM"
        },
        {
          "code": "81440",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 11574,
          "discounted_cash": 7523.1,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11041.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11041.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11041.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11041.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11168.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11111.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11111.04
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10995.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11319.37
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10995.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11041.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11111.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11111.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11111.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11111.04
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3587.94
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10995.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11319.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10995.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3935.16
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11111.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11041.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11041.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11111.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11111.04
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10995.3
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10995.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11041.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11041.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11168.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11168.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6365.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10995.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9837.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11111.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11319.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10995.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10995.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9837.9
            },
            {
              "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": 7523.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11041.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11111.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11111.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10995.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10995.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3587.94
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3587.94
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3587.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11041.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11041.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11111.04
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3587.94
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 10185.12
            },
            {
              "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": 95.4,
              "estimated_amount": 11041.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11041.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6365.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3935.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11319.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 11574
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6365.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11041.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11111.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11111.04
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9837.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3935.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11111.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11111.04
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3587.94,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11041.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11041.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11111.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11111.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6365.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6365.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6365.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10995.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10995.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3935.16
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3587.94,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11168.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11111.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11111.04
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3587.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11168.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11111.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11111.04
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3587.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11111.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11111.04
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3587.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10995.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3587.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11041.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11168.91
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11111.04
            },
            {
              "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": 6365.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3587.94,
              "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": 96,
              "estimated_amount": 11111.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11168.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11111.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11111.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11111.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11111.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11111.04
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3587.94
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9837.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11111.04
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9837.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3324,
              "estimated_amount": 3324
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3935.16
            }
          ],
          "minimum": 3324,
          "maximum": 3324
        }
      ]
    },
    {
      "description": "Prevantics Skin Antiseptic Chg/IPA Maxi Swabstick Lf",
      "code_information": [
        {
          "code": "PX-CHPYS41950",
          "type": "CDM"
        },
        {
          "code": "A4247",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.97,
          "discounted_cash": 1.28,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 1.97,
              "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": 1.97,
              "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": 1.97,
              "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": 96,
              "estimated_amount": 1.89
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.97,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.87
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.61,
              "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": 1.08
            },
            {
              "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": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.97,
              "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": 95.4,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.89
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 1.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.88
            },
            {
              "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": 95.4,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.97,
              "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": 1.08
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.61,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 1.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 97.8,
              "estimated_amount": 1.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.97
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.97,
              "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": 1.97,
              "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": 1.97,
              "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": 96,
              "estimated_amount": 1.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.97,
              "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": 95,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.93
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95.4,
              "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": 95.4,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 1.97,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.61,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.61
            },
            {
              "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
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.97,
              "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": 1.97,
              "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": 1.97,
              "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": 95,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.87
            },
            {
              "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": 1.97,
              "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": 95,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.97,
              "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": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.97,
              "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": 1.97,
              "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": 1.97,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.89
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.97,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.67
            }
          ]
        }
      ]
    },
    {
      "description": "Alginate Ag Biatain(Seasorb) 4 in X 4 In",
      "code_information": [
        {
          "code": "PX-CHCO3760",
          "type": "CDM"
        },
        {
          "code": "A6196",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 14.11,
          "discounted_cash": 9.17,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.46
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.37
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.48
            },
            {
              "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": 12.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 14.11,
              "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": 14.11,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.37
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.37
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.4
            },
            {
              "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": 14.11,
              "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": 11.99
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.11,
              "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": 14.11,
              "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": 96,
              "estimated_amount": 13.55
            },
            {
              "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": 14.11,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.62
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.11,
              "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": 14.11,
              "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": 14.11,
              "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": 7.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.37
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 11.99
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.55
            },
            {
              "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": 95.4,
              "estimated_amount": 13.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 14.11,
              "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": 96,
              "estimated_amount": 13.55
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.37,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.11,
              "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": 11.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.46
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.37,
              "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": 97.8,
              "estimated_amount": 13.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 14.11,
              "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": 14.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.37
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.4
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 14.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.37
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.37
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.37,
              "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": 7.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.4
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.11,
              "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": 14.11,
              "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": 14.11,
              "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": 14.11,
              "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": 95,
              "estimated_amount": 13.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.11,
              "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": 14.11,
              "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": 14.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "\"Wound Drsg Gel Fiber Aglinate 2\"\" X 2\"\" Lf\"",
      "code_information": [
        {
          "code": "PX-CH55RGFB22",
          "type": "CDM"
        },
        {
          "code": "A6196",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.85,
          "discounted_cash": 1.2,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.85,
              "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": 1.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.57
            },
            {
              "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": 95.4,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.57
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.57,
              "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": 95,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.85,
              "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": 1.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.63
            },
            {
              "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": 1.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 1.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.85,
              "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": 95,
              "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": 1.02
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.85,
              "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": 1.85,
              "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": 1.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.57,
              "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": 95.4,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 1.85,
              "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": 1.85,
              "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": 1.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 1.57
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.79
            },
            {
              "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": 1.85,
              "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": 1.85,
              "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": 1.85,
              "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": 96,
              "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": 1.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.85,
              "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": 95,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.85,
              "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": 1.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 1.85,
              "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": 96,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.85,
              "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": 1.85,
              "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": 1.85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.57,
              "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": 95.4,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 1.57
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.57
            }
          ]
        }
      ]
    },
    {
      "description": "Laminaria Cervical Dilator",
      "code_information": [
        {
          "code": "PX-27200552",
          "type": "CDM"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 36,
          "discounted_cash": 23.4,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 34.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 34.56
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 34.56
            },
            {
              "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": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.24
            },
            {
              "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": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 35.21
            },
            {
              "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 PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.16
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 34.56
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.24
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.38
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 34.06
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 35.21
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.34
            },
            {
              "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": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 34.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 34.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 34.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 34.06
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.2
            },
            {
              "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": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.24
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 34.56
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.2
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.16
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 34.06
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.16
            },
            {
              "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": 19.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 34.06
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 34.56
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.2
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.16
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.24
            },
            {
              "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": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 34.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 34.06
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.16
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 24.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 35.21
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 34.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 34.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 35.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 34.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 34.06
            },
            {
              "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": 23.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 34.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 34.06
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 34.06
            },
            {
              "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": 31.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 34.06
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 34.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.2
            }
          ]
        }
      ]
    },
    {
      "description": "Maze Product Level 09",
      "code_information": [
        {
          "code": "PX-27200553",
          "type": "CDM"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 14875,
          "discounted_cash": 9668.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14190.75
            },
            {
              "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": 95.4,
              "estimated_amount": 14190.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14190.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 14071.75
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 10025.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12643.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 14547.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8181.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14131.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14190.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 14071.75
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4611.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14131.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14131.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8181.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8181.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8181.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4611.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14190.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14190.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14354.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14205.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 14071.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14190.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 14071.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4611.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4611.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8181.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14131.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14131.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14205.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 14071.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 14071.75
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14131.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14131.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5057.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14354.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 14071.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14205.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14205.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 14071.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14280
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14131.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8181.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14131.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4611.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14131.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14131.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14205.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 14071.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 14071.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12643.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12643.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4611.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14190.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14205.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 14071.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14190.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14190.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14190.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14354.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14354.38
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14280
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 14875
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8181.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14131.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 14547.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5057.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14190.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4611.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5057.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14190.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14354.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 14071.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 14071.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 14071.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4611.25
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14131.25
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14131.25
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14280
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14190.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14354.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14354.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14205.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14205.63
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14280
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12643.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5057.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14280
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14190.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14205.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 14071.75
            },
            {
              "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": 13090
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5057.5
            },
            {
              "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": 9668.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14280
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14190.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4611.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 14071.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 14071.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14190.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14205.63
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4611.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12643.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14280
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14190.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 14547.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 14547.75
            }
          ]
        }
      ]
    },
    {
      "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": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.14
            },
            {
              "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": "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "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": 1.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.14
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.14
            },
            {
              "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": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.14
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.13
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.15
            },
            {
              "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": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.76
            },
            {
              "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": 1.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.14
            },
            {
              "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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.13
            },
            {
              "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": "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 MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.14
            },
            {
              "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": 2.24,
              "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": 2.24,
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.14
            },
            {
              "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": "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": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.13
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.14
            },
            {
              "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": "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": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 1.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.16
            },
            {
              "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": 95.4,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.16
            },
            {
              "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": "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": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.14
            },
            {
              "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": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.14
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.15
            },
            {
              "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": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "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": 2.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.76
            }
          ]
        }
      ]
    },
    {
      "description": "1 Pc Drainable Pouch Pre Cut Mio Easiclose 1-9/16\"\"",
      "code_information": [
        {
          "code": "PX-CHCO10479",
          "type": "CDM"
        },
        {
          "code": "A4424",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6.38,
          "discounted_cash": 4.15,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "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": 6.38,
              "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": 6.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 3.51
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 6.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98,
              "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": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.38,
              "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": 5.42
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 6.38
            },
            {
              "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": 3.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.38,
              "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": 6.38,
              "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": 6.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.17
            },
            {
              "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": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.38,
              "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": 6.38,
              "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": 6.38,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 6.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.06
            },
            {
              "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": 6.38,
              "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": 95.5,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.38,
              "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": 97.8,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.38,
              "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": 6.38,
              "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": 6.38,
              "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": 6.38,
              "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": 6.38,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 5.42
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.38,
              "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": 5.61
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.06
            }
          ]
        }
      ]
    },
    {
      "description": "Ambulatory Long-Term Monitoring Eeg 12-26 Hours",
      "code_information": [
        {
          "code": "PX-74000047",
          "type": "CDM"
        },
        {
          "code": "95708",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8392,
          "discounted_cash": 5454.8,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8005.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8014.36
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2601.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2601.52
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8005.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8098.28
            },
            {
              "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 [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": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7972.4
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7133.2
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8207.38
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7133.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7972.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2601.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8005.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8098.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8098.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8056.32
            },
            {
              "payer_name": "BUCKEYE COMMUNITY 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": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8098.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8014.36
            },
            {
              "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": "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2853.28
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8056.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8207.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8207.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7972.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2601.52
            },
            {
              "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 SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8005.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8005.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8098.28
            },
            {
              "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/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8392,
              "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": 96,
              "estimated_amount": 8056.32
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8392,
              "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": 4615.6
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7972.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7972.4
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2601.52,
              "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": 8392,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8005.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8098.28
            },
            {
              "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": "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": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8005.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8014.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8014.36
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7133.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8207.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7972.4
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2853.28
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8056.32
            },
            {
              "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": 8392,
              "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": 95.4,
              "estimated_amount": 8005.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8005.97
            },
            {
              "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2601.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7972.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2853.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8005.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8014.36
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2601.52,
              "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": 95.4,
              "estimated_amount": 8005.97
            },
            {
              "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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "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": 95,
              "estimated_amount": 7972.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8056.32
            },
            {
              "payer_name": "UHC 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": 95.5,
              "estimated_amount": 8014.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8392,
              "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": 95,
              "estimated_amount": 7972.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4615.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2601.52
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2853.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8005.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8014.36
            },
            {
              "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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7972.4
            },
            {
              "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": 95.4,
              "estimated_amount": 8005.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8005.97
            },
            {
              "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": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8014.36
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 5656.21
            },
            {
              "payer_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": "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 MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2601.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8005.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8005.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8014.36
            },
            {
              "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2601.52
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8056.32
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2853.28
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2601.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7972.4
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2601.52,
              "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": 95.4,
              "estimated_amount": 8005.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8098.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8014.36
            },
            {
              "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": 8392,
              "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": 8392,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2601.52
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7972.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8005.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7972.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7972.4
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8056.32
            },
            {
              "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": 5454.8
            }
          ]
        }
      ]
    },
    {
      "description": "1 Pc Cvx Ctf Urostomy Pouch Flextend",
      "code_information": [
        {
          "code": "PX-CHHO84794",
          "type": "CDM"
        },
        {
          "code": "A4430",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13.34,
          "discounted_cash": 8.67,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.87
            },
            {
              "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": "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 MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.14
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.67
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.74
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.67
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.14
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.67
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.14
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.14
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.54
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "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": 95,
              "estimated_amount": 12.67
            },
            {
              "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": 95.4,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.34,
              "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": 13.34,
              "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": 96,
              "estimated_amount": 12.81
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.74
            },
            {
              "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 HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.67
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13.05
            },
            {
              "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": "HUMANA [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": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.87
            },
            {
              "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": "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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.73
            },
            {
              "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": "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
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.14
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.67
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.67
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.67
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.74
            },
            {
              "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": 13.34,
              "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": 7.34
            },
            {
              "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": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.67
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.74
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.81
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.74
            },
            {
              "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.14
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13.05
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.34,
              "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": 13.34,
              "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": 13.34,
              "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": 95.4,
              "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": 13.34,
              "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": 13.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.14
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 8.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.67
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.14
            }
          ]
        }
      ]
    },
    {
      "description": "Circaid Reduction Kit Low Leg Wide,Stndrd, 35cm",
      "code_information": [
        {
          "code": "PX-CHCICRK1S011",
          "type": "CDM"
        },
        {
          "code": "A6549",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 234.04,
          "discounted_cash": 152.13,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 223.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 223.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 223.27
            },
            {
              "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": 95.4,
              "estimated_amount": 223.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 223.51
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 224.68
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 224.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 228.89
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 222.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 223.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 223.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 234.04,
              "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": 95,
              "estimated_amount": 222.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 223.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 234.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 225.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 223.51
            },
            {
              "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": 205.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 228.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 228.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 128.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 222.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 222.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 79.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 234.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 128.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 222.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 79.57
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 224.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 223.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 234.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 223.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 223.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 234.04,
              "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": 95.4,
              "estimated_amount": 223.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 223.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 234.04,
              "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": 97.8,
              "estimated_amount": 228.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 128.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 222.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 222.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 222.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 222.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 79.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 223.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 223.27
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 222.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 79.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 223.27
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 224.68
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 225.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 225.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 234.04,
              "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": 95,
              "estimated_amount": 222.34
            },
            {
              "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": 128.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 222.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 222.34
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 224.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 128.72
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 223.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 223.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 223.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 223.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 234.04,
              "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": 234.04,
              "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": 234.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 223.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 225.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 225.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 223.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 234.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 223.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 223.51
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.55
            },
            {
              "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": 234.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 222.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 225.85
            },
            {
              "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": 234.04,
              "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": 234.04,
              "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": 234.04,
              "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": 234.04,
              "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": 128.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 128.72
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 223.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 234.04,
              "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": 234.04,
              "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": 96,
              "estimated_amount": 224.68
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 224.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 223.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 234.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.55
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.93
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.93
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 79.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 223.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 225.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 234.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "Allogeneic Hpc Transplant",
      "code_information": [
        {
          "code": "PX-94000016",
          "type": "CDM"
        },
        {
          "code": "38240",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 9175,
          "discounted_cash": 5963.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8752.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8752.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9175,
              "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": 8074
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8808
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5046.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5046.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8716.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8716.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2844.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8752.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8853.88
            },
            {
              "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": 9175,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2844.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2844.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3119.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8808
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2844.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8752.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8853.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9175,
              "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": 9175,
              "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": 9175,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8752.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8752.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8853.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8762.13
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8808
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5046.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8716.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5046.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8752.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9175,
              "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": 9175,
              "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": 95,
              "estimated_amount": 8716.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8716.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2844.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8716.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2844.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3119.5
            },
            {
              "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": 5963.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8752.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8752.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8853.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9175,
              "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": 95,
              "estimated_amount": 8716.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8762.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9175,
              "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": 95,
              "estimated_amount": 8716.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7798.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 9175
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8716.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7798.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3119.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8762.13
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 6183.95
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2844.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8716.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3119.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8808
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8762.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9175,
              "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": 96,
              "estimated_amount": 8808
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8752.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8762.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8762.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9175,
              "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": 9175,
              "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": 9175,
              "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": 97.8,
              "estimated_amount": 8973.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8716.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7798.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8808
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8752.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8752.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8752.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8762.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8762.13
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8716.25
            },
            {
              "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": 5046.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2844.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8752.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8853.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2844.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8762.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8752.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8762.13
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7798.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8716.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7798.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8973.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5046.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8716.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8752.95
            },
            {
              "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": 95.4,
              "estimated_amount": 8752.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8853.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8853.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9175,
              "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": 9175,
              "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": 9175,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2844.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8808
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8973.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8973.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3119.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8752.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9175,
              "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": 5046.25
            }
          ]
        }
      ]
    },
    {
      "description": "Stem Cells Total Count Cd34 Product",
      "code_information": [
        {
          "code": "PX-81500019",
          "type": "CDM"
        },
        {
          "code": "86367",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 328,
          "discounted_cash": 213.2,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 312.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 312.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 316.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 291.68,
              "estimated_amount": 291.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 291.68,
              "estimated_amount": 291.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 320.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 320.78
            },
            {
              "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": 180.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 312.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 312.91
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 111.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 180.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 311.6
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 314.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 313.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 291.68,
              "estimated_amount": 291.68
            },
            {
              "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": 288.64
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 316.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 291.68,
              "estimated_amount": 291.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 180.4
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 111.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 180.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 278.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 312.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 291.68,
              "estimated_amount": 291.68
            },
            {
              "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": 328,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 311.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 311.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 278.8
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.68,
              "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": 328,
              "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": 95.4,
              "estimated_amount": 312.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 312.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 313.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 291.68,
              "estimated_amount": 291.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 291.68,
              "estimated_amount": 291.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 312.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 313.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 313.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 291.68,
              "estimated_amount": 291.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 291.68,
              "estimated_amount": 291.68
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.68
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 314.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.68
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 314.88
            },
            {
              "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": 213.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 311.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 312.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 312.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 312.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 291.68,
              "estimated_amount": 291.68
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 311.6
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 278.8
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 278.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 180.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.68
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 328,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 312.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 312.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 291.68,
              "estimated_amount": 291.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 291.68,
              "estimated_amount": 291.68
            },
            {
              "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": 328,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 311.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 313.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 180.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 278.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 311.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 278.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.68
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 111.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 311.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 311.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 311.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 314.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 312.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 313.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 314.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 316.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 316.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 316.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 313.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 313.24
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.68
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 314.88
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.68,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 312.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 291.68,
              "estimated_amount": 291.68
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.68
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 311.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 311.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 312.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 316.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 291.68,
              "estimated_amount": 291.68
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 328,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.68,
              "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": 180.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.68
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 111.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 313.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 291.68,
              "estimated_amount": 291.68
            },
            {
              "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": 328,
              "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": 96,
              "estimated_amount": 314.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 316.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 291.68,
              "estimated_amount": 291.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 291.68,
              "estimated_amount": 291.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 320.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 328
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 320.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 311.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 101.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 312.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 312.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 313.24
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 221.07
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 111.52
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 311.6
            }
          ],
          "minimum": 291.68,
          "maximum": 291.68
        }
      ]
    },
    {
      "description": "Catheter Silver Hydrogel 16 Fr 30 Cc",
      "code_information": [
        {
          "code": "PX-CHBA0166SI16",
          "type": "CDM"
        },
        {
          "code": "A4338",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 20.79,
          "discounted_cash": 13.51,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.79,
              "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": 20.79,
              "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": 20.79,
              "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": 97.8,
              "estimated_amount": 20.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.43
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.44
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.44
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 20.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.44,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.44,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.85
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.75
            },
            {
              "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": 20.79,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7.07
            },
            {
              "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": 11.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.79,
              "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": 97.8,
              "estimated_amount": 20.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.44
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.83
            },
            {
              "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": 20.79,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 20.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 20.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.67
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.85
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.44
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.44
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.44,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.79,
              "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": 20.79,
              "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": 17.67
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7.07
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.79,
              "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": 96,
              "estimated_amount": 19.96
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.79,
              "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": 11.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20.06
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.79,
              "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": 96,
              "estimated_amount": 19.96
            },
            {
              "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": 18.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.43
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.44
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.79,
              "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": 20.79,
              "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": 96,
              "estimated_amount": 19.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.85
            },
            {
              "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": 20.79,
              "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": 20.79,
              "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": 20.79,
              "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": 96,
              "estimated_amount": 19.96
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 20.79,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.67
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.83
            },
            {
              "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": 95.4,
              "estimated_amount": 19.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.75
            }
          ]
        }
      ]
    },
    {
      "description": "Donor Chimerism W/Comp to Baseline W/Cell Selection Ea Sendout",
      "code_information": [
        {
          "code": "PX-81500024",
          "type": "CDM"
        },
        {
          "code": "81268",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2001,
          "discounted_cash": 1300.65,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1908.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1910.96
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 620.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1956.98
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 680.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1900.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1700.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1908.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1910.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 977.96,
              "estimated_amount": 977.96
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 680.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1100.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1900.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1700.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 620.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 680.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1930.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 977.96,
              "estimated_amount": 977.96
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 620.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1920.96
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1900.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 977.96,
              "estimated_amount": 977.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 977.96,
              "estimated_amount": 977.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1956.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1956.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1100.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1900.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1700.85
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 620.31
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1920.96
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1700.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 620.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1908.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1908.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1908.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1910.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1910.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1920.96
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 620.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1900.95
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1700.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1100.55
            },
            {
              "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": 2001,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1908.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 977.96,
              "estimated_amount": 977.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 977.96,
              "estimated_amount": 977.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1920.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 977.96,
              "estimated_amount": 977.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 977.96,
              "estimated_amount": 977.96
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2001,
              "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": 1760.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 620.31
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1900.95
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 620.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1900.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 680.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1908.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 977.96,
              "estimated_amount": 977.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 977.96,
              "estimated_amount": 977.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 680.34
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1920.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1908.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1908.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1910.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1910.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 977.96,
              "estimated_amount": 977.96
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 620.31
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1900.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1908.95
            },
            {
              "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": 2001,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1700.85
            },
            {
              "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": 1100.55
            },
            {
              "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": 1300.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1100.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1100.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1900.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 620.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1908.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1908.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1930.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 977.96,
              "estimated_amount": 977.96
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1920.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 620.31
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1920.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1908.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1910.96
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 620.31
            },
            {
              "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": 2001,
              "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": 95,
              "estimated_amount": 1900.95
            },
            {
              "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": 95.4,
              "estimated_amount": 1908.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1930.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1910.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1910.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 977.96,
              "estimated_amount": 977.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1900.95
            },
            {
              "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": 2001,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1908.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1100.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1900.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 620.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2001
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1908.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1930.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1930.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1930.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1930.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1910.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 977.96,
              "estimated_amount": 977.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 977.96,
              "estimated_amount": 977.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 977.96,
              "estimated_amount": 977.96
            },
            {
              "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": 2001,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 1348.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1908.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1956.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1900.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1908.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 977.96,
              "estimated_amount": 977.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1900.95
            }
          ],
          "minimum": 977.96,
          "maximum": 977.96
        }
      ]
    },
    {
      "description": "Recipient Hla I Typing 1 Locus Hr Sendout",
      "code_information": [
        {
          "code": "PX-30000253",
          "type": "CDM"
        },
        {
          "code": "81380",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 960,
          "discounted_cash": 624,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 326.4
            },
            {
              "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": 624
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 915.84
            },
            {
              "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": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 960
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 912
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 297.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 528
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 326.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 912
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 912
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 297.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 816
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 816
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 297.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 297.6
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 297.6,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "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": 844.8
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 912
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 528
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 912
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 912
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 938.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 912
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 912
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 912
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 326.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 926.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 926.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 926.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 816
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 528
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 938.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 528
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 912
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 297.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 297.6,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 297.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 938.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 938.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 912
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 177.25,
              "estimated_amount": 177.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 297.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 912
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 297.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 297.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 926.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 912
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 528
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 912
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 297.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 326.4
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 297.6,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 926.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 816
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 926.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 926.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 528
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 326.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 915.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 921.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 816
            }
          ],
          "minimum": 177.25,
          "maximum": 177.25
        }
      ]
    },
    {
      "description": "Recipient Syphilis-Pk-Tp Sendout",
      "code_information": [
        {
          "code": "PX-30200715",
          "type": "CDM"
        },
        {
          "code": "86592",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 32,
          "discounted_cash": 20.8,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30.4
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 30.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "payer_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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "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": 32,
              "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": 17.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.92
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 30.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30.53
            },
            {
              "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": 95.4,
              "estimated_amount": 30.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30.4
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 31.3
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30.4
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10.88
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 31.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.92,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 30.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 21.57
            },
            {
              "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": 28.16
            },
            {
              "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 (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10.88
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10.88
            },
            {
              "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": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30.4
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 31.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 30.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 30.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 32,
              "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": 32,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.92,
              "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": 17.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10.88
            },
            {
              "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": 32,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30.4
            },
            {
              "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": 20.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30.53
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.92,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 31.3
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 30.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 30.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "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": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30.72
            },
            {
              "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": 32,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "Trach Inner Cannula Disposable Size 7.5 Mm Shiley",
      "code_information": [
        {
          "code": "PX-CH2M6IC75",
          "type": "CDM"
        },
        {
          "code": "A4623",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 7.01,
          "discounted_cash": 4.56,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.69
            },
            {
              "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": "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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.96
            },
            {
              "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": 3.86
            },
            {
              "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": "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.17
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.38
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.69
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.76
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.86
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.01,
              "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": 7.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.69
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.69
            },
            {
              "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": 7.01,
              "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": 67.4,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.73
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 97.8,
              "estimated_amount": 6.86
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.38
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 4.56
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.17
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.69
            },
            {
              "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": 95.4,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.69
            },
            {
              "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/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": "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.69
            },
            {
              "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.69
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.86
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.76
            },
            {
              "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": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.76
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.73
            },
            {
              "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": 6.17
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.69
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.73
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95,
              "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": 95,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.38
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Ctf Std Wear Up to 1 1-4 in New Image",
      "code_information": [
        {
          "code": "PX-CHHO15202",
          "type": "CDM"
        },
        {
          "code": "A4414",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.74,
          "discounted_cash": 1.78,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.6
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.68
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 97.8,
              "estimated_amount": 2.68
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.61
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.68
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.62
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.62
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.93
            },
            {
              "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 MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.62
            },
            {
              "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": "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": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.33
            },
            {
              "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": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "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": 2.41
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.6
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.85,
              "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": 2.74,
              "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": 2.74,
              "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": 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": 95.4,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.64
            },
            {
              "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": 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": "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": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.62
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.63
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95.4,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 2.74,
              "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": 1.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.61
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.33
            }
          ]
        }
      ]
    },
    {
      "description": "Circaid Juxtalite Hd Lower Leg System, Long, Medium/Full Calf",
      "code_information": [
        {
          "code": "PX-CHCICJL4L002",
          "type": "CDM"
        },
        {
          "code": "A6545",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 98.72,
          "discounted_cash": 64.17,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 94.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 98.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.6,
              "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": 98.72,
              "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": 95,
              "estimated_amount": 93.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 96.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 96.55
            },
            {
              "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": 54.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 93.78
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 33.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 94.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 94.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 94.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 94.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 94.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 98.72,
              "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": 95,
              "estimated_amount": 93.78
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 93.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 94.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 95.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 95.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 95.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 98.72,
              "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": 98.72,
              "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": 98.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 33.56
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 94.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 98.72,
              "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": 98.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 93.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 54.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 33.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 54.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 83.91
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.6,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 94.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 94.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 94.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 94.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 93.78
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 93.78
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.6,
              "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": 95.4,
              "estimated_amount": 94.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 94.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 94.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 94.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 94.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 98.72,
              "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": 95,
              "estimated_amount": 93.78
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 93.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 98.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 94.77
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 83.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 96.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 93.78
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 83.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 54.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 54.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 93.78
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 33.56
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 94.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 94.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 95.26
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 94.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 96.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 54.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 95.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 98.72,
              "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": 96,
              "estimated_amount": 94.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 94.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 95.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 94.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 98.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 83.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 94.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 98.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 83.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 98.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 93.78
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 94.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 93.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 94.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 94.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 94.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 98.72,
              "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": 98.72,
              "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": 86.87
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 93.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 94.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 94.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 95.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 94.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 98.72,
              "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": 98.72,
              "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": 96,
              "estimated_amount": 94.77
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 98.72,
              "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": 54.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 94.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 94.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 98.72,
              "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": 98.72,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 33.56
            }
          ]
        }
      ]
    },
    {
      "description": "Cardinal Health Flat Fold N95 Respirator Mask Lf",
      "code_information": [
        {
          "code": "PX-CHA1USAN95R",
          "type": "CDM"
        },
        {
          "code": "A4928",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.65,
          "discounted_cash": 0.42,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.62
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "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": 0.36
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.62
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "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": 96,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.62
            },
            {
              "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 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": "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": "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": 95,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 96.5,
              "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": 0.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2
            },
            {
              "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": 0.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.62
            },
            {
              "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.62
            },
            {
              "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/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": "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": "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": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.62
            },
            {
              "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": 0.36
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 96.5,
              "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": 96.5,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.62
            },
            {
              "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": 95,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.65,
              "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": 95.4,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.62
            },
            {
              "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": 0.65,
              "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": 95,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.62
            },
            {
              "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": "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": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.62
            },
            {
              "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": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.62
            },
            {
              "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": "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.62
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 96,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.62
            },
            {
              "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": "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": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 0.36
            }
          ]
        }
      ]
    },
    {
      "description": "\"Skin Barrier New Image Sft Pre Cut 1-1/8\"\" 2-1/4\"\" 57mm\"",
      "code_information": [
        {
          "code": "PX-CHHO11905",
          "type": "CDM"
        },
        {
          "code": "A4407",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.5,
          "discounted_cash": 3.57,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.5,
              "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": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "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": 4.84
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "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": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.5,
              "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": 97.8,
              "estimated_amount": 5.38
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.5,
              "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": 5.5,
              "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": 5.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.03
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.5,
              "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": 4.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.5,
              "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": 5.5,
              "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": 5.5,
              "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": 5.5,
              "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": 5.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71,
              "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": 3.03
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.28
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "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": 5.5,
              "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": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.31
            },
            {
              "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": 5.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.5,
              "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": 95,
              "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": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71,
              "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": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.5,
              "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": 95,
              "estimated_amount": 5.23
            },
            {
              "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": 3.03
            },
            {
              "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 MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.5,
              "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": 96,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.28
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.87
            }
          ]
        }
      ]
    },
    {
      "description": "RBC Dna Gnotyp 12 Bld Grp Predict 44 RBC Ag Phnt Sendout",
      "code_information": [
        {
          "code": "PX-30000258",
          "type": "CDM"
        },
        {
          "code": "0282U",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1685,
          "discounted_cash": 1095.25,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1607.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1626.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1617.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1617.6
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1600.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1600.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1607.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1607.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1607.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1626.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1617.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1617.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 926.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 926.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1600.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1626.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1626.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1626.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1617.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1617.6
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1600.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1607.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1607.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1617.6
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1600.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 522.35
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 522.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 926.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 926.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 522.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 572.9
            },
            {
              "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": 1095.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1607.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1607.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1617.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1617.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1647.93
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1600.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 522.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1617.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 522.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1607.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1607.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1626.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1617.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1617.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1617.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 522.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1647.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1600.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1600.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 720,
              "estimated_amount": 720
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1617.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1647.93
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 522.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1607.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1626.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1617.6
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 522.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1607.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1617.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1617.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1607.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1607.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1607.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1617.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1617.6
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1432.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 522.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 572.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1617.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1617.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1617.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1600.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1600.75
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1600.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1607.49
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 522.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1617.6
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 522.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 572.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 572.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1617.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1617.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1617.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1617.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1647.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 926.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1600.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 572.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 522.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1617.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 926.75
            },
            {
              "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": 926.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1600.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 522.35,
              "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": 95.4,
              "estimated_amount": 1607.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1617.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1617.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1607.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1617.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1600.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1432.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1617.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1617.6
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1432.25
            }
          ],
          "minimum": 720,
          "maximum": 720
        }
      ]
    },
    {
      "description": "\"2 Pc Pouch 1-3/4\"\" Natura Closed End\"",
      "code_information": [
        {
          "code": "PX-CHCV416406",
          "type": "CDM"
        },
        {
          "code": "A4419",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.05,
          "discounted_cash": 0.68,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 67.4,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.03
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.89
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.89
            },
            {
              "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 [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.05,
              "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": 1.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.33
            },
            {
              "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": 0.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.05,
              "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": 95.4,
              "estimated_amount": 1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.03
            },
            {
              "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": 0.58
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.68
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95.5,
              "estimated_amount": 1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1
            },
            {
              "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 1.05
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 1
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 0.89
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.58
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 1.05,
              "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": 96,
              "estimated_amount": 1.01
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 1.05,
              "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": 96,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 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": 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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 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": 1.05,
              "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": 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": 95,
              "estimated_amount": 1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1
            },
            {
              "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": "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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.03
            }
          ]
        }
      ]
    },
    {
      "description": "Ecmo Insertion Peripheral Cannula",
      "code_information": [
        {
          "code": "PX-48100084",
          "type": "CDM"
        },
        {
          "code": "33952",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 37370,
          "discounted_cash": 24290.5,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35650.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35650.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 36062.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35688.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37370,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 35875.2
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 35501.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20553.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11584.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 36062.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 36062.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35688.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37370,
              "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": 96,
              "estimated_amount": 35875.2
            },
            {
              "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": 32885.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20553.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 35501.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 35501.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 35875.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 36547.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20553.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12705.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35688.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37370,
              "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": 37370,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11584.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35688.35
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31764.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20553.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 35501.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11584.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 35501.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11584.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12705.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 35501.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 35875.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35650.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35650.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 36547.86
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31764.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 35875.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35688.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37370,
              "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": 37370,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11584.7
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 35501.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35650.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 36062.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35688.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37370,
              "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": 96,
              "estimated_amount": 35875.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 36547.86
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12705.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 35501.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37370,
              "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": 95,
              "estimated_amount": 35501.5
            },
            {
              "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": 95.4,
              "estimated_amount": 35650.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35650.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 36062.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35688.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35688.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37370,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11584.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 35875.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35688.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37370,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11584.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35650.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35650.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37370,
              "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": 37370,
              "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": 37370,
              "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": 37370,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12705.8
            },
            {
              "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": 24290.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35650.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35650.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35650.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 36062.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37370,
              "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": 31764.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35650.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35650.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35688.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37370,
              "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": 67.4,
              "estimated_amount": 25187.38
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 35501.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11584.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12705.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35650.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37370,
              "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": 20553.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 35501.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20553.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35650.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37370,
              "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": 95.4,
              "estimated_amount": 35650.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35650.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 36062.05
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11584.7
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 35501.5
            },
            {
              "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": 20553.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 35501.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 35501.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31764.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 36547.86
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31764.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11584.7
            }
          ]
        }
      ]
    },
    {
      "description": "Clinical Study Device/Supply",
      "code_information": [
        {
          "code": "PX-62400259",
          "type": "CDM"
        },
        {
          "code": "C1726",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6500,
          "discounted_cash": 4225,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6201
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6201
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6201
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6272.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6500,
              "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": 6500,
              "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": 3575
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6175
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6175
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5525
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2015
            },
            {
              "payer_name": "UHC 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": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6272.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6500,
              "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": 96,
              "estimated_amount": 6240
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3575
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3575
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2015
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2015
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6240
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6201
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6201
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6201
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6207.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6500,
              "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": 6500,
              "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": 95,
              "estimated_amount": 6175
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5525
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6201
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6201
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6207.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6207.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6500,
              "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": 6500,
              "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": 96,
              "estimated_amount": 6240
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6175
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6357
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6201
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6201
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6240
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6357
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2210
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2210
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6201
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6207.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6500,
              "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": 95.5,
              "estimated_amount": 6207.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6357
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2210
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6175
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2210
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6240
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6201
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6272.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6207.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6500,
              "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": 6500,
              "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": 95,
              "estimated_amount": 6175
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6175
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2015
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2015,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6201
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6272.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6272.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6500,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2015
            },
            {
              "payer_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": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6500,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2015,
              "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": 95,
              "estimated_amount": 6175
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6175
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2015
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2210
            },
            {
              "payer_name": "HUMANA [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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6357
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2015
            },
            {
              "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": 6500,
              "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": 6500,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2015
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6201
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6201
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6500,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2015
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 4381
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2015
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6201
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6272.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6272.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6207.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6207.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6500,
              "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": 95,
              "estimated_amount": 6175
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6175
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6175
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6500,
              "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": 3575
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2015,
              "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": 95.4,
              "estimated_amount": 6201
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6207.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6500,
              "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": 6500,
              "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": 6500,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6201
            },
            {
              "payer_name": "BUCKEYE COMMUNITY 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": "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": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6240
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6175
            },
            {
              "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": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6207.5
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6175
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6240
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 1,
          "discounted_cash": 0.65,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
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              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
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              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "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 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 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/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 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 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": "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": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": "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 GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": "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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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 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 OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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 UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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 POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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": "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 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 POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": 1,
              "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,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "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": 67.4,
              "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": 67.4,
              "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": 67.4,
              "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": 67.4,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 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": "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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "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": 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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "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": 97.8,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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": "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": "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": "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 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 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 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": "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": "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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": "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 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 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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 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/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 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": "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": "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": "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": "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": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "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 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 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": "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": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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": "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 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 STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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 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 GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": "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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "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": 67.4,
              "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": 67.4,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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,
              "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": "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": "CENPATICO [280400]",
              "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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "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": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
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            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 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": "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "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": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 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": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC 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": "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": "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": "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": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "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": 97.8,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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 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 BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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": 97.8,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "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": 97.8,
              "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": 0.55
            },
            {
              "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": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
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              "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 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 HEALTHCARE PPO [555205]",
              "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": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "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": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC 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": "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": "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": "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "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": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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 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/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": "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/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 OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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/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": "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/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "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,
              "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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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 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": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "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": 67.4,
              "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": 67.4,
              "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": 67.4,
              "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": 67.4,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 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": "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": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "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": 0.88
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "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": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
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            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "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": "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 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/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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/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/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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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": "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": 94.6,
              "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,
              "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,
              "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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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": "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 OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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 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": "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": 94.6,
              "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,
              "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 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 TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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,
              "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 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 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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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 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 OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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 POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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,
              "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": "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": "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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": "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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": 97.8,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.55
            },
            {
              "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 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 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": "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": "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "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 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": "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 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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 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": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 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": "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": "MOLINA 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": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.55
            },
            {
              "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": "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": "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 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": "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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 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": "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": "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 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": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 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": "MOLINA 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 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": "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": "MOLINA 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": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "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": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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 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 STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 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 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 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 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": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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/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 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": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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 GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": 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": 94.6,
              "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,
              "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": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": 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/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": "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 UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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,
              "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": "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "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": 0.88
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "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": 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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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": "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": 95,
              "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
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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": "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 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": "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 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 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": "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": "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 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": "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "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": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 0.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 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": "MOLINA 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 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": "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": "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": "UHC 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 SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "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 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 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 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 UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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/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/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 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": 94.6,
              "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,
              "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 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 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": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": 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 TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": 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": "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 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/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 TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 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 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 HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": 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": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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 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": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "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": 67.4,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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,
              "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": "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": "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "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": 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": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "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": 0.88
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": "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": "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "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,
              "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 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 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/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 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 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 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 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 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/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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 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 OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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,
              "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 TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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 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 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/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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": 94.6,
              "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,
              "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 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/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 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 TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "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": 67.4,
              "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": 67.4,
              "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": 67.4,
              "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": 67.4,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "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": 0.88
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "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": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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": 97.8,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.55
            },
            {
              "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": "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* [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 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* [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": "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 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": "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 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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "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": 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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC 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": "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": "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": "MOLINA 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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "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": 97.8,
              "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": 97.8,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "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": 97.8,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "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": 0.55
            },
            {
              "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": "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": "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": "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 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": "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": "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* [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 WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "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": 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 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": "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 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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 0.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 0.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 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": "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": "UHC 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": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
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            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "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 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 OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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": "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 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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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 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 OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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 GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": "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 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/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": 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 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": "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 UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "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": 67.4,
              "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": 67.4,
              "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": 67.4,
              "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": 67.4,
              "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": 67.4,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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,
              "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": "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": "CENPATICO [280400]",
              "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": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "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": 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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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": 97.8,
              "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": 97.8,
              "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": 97.8,
              "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": 0.55
            },
            {
              "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": "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": "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 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": "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": "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": "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 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": "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 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": "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": "MOLINA 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": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
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              "payer_name": "AETNA [310]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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 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": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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 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 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 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": "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 UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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 OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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 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/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": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": "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 STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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 GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 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": "CENPATICO [280400]",
              "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "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": 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": "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "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": 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": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
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              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
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              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
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            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
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            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
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            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
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            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
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            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
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            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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            {
              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
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              "estimated_amount": 0.95
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            {
              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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            {
              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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            {
              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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            {
              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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              "estimated_amount": 0.95
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              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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              "estimated_amount": 0.95
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              "estimated_amount": 0.95
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            {
              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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              "estimated_amount": 0.95
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              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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              "payer_name": "AETNA [310]",
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              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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              "payer_name": "AETNA [310]",
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            {
              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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            {
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              "estimated_amount": 0.95
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            {
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              "estimated_amount": 0.95
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              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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            {
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              "estimated_amount": 0.95
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              "estimated_amount": 0.95
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              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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            {
              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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            {
              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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            {
              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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              "estimated_amount": 0.95
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              "estimated_amount": 0.95
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              "payer_name": "AETNA [310]",
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            {
              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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              "payer_name": "AETNA [310]",
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              "payer_name": "AETNA [310]",
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            {
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              "estimated_amount": 0.95
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              "payer_name": "CIGNA [370]",
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              "estimated_amount": 0.97
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              "payer_name": "CIGNA [370]",
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              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
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              "estimated_amount": 0.97
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            {
              "payer_name": "CIGNA [370]",
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            {
              "payer_name": "CIGNA [370]",
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              "estimated_amount": 0.97
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            {
              "payer_name": "CIGNA [370]",
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            {
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              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
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              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
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            },
            {
              "payer_name": "MMO [485]",
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            {
              "payer_name": "MMO [485]",
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            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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 OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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/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 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 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 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/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 OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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 OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": "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 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 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 HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "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": 67.4,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 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": "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": "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": "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": "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": "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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": "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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": 97.8,
              "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": 0.55
            },
            {
              "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": "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": "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* [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": "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": "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": "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 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": "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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": 95,
              "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": 95,
              "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": 95,
              "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": 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 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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 0.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 0.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 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": "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": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.55
            },
            {
              "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": "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": "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": "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 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 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": "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 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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "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 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": "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": "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 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": "MOLINA 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": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "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": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "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/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/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/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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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 OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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": 94.6,
              "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,
              "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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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 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 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": "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 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 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": "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 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": "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": "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/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": "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/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": "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/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "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": 67.4,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 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": "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": "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": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "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": 0.88
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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]",
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              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "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 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 PPO [555205]",
              "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": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.65
            },
            {
              "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": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC 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": "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": "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": "MOLINA 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": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": 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": 94.6,
              "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,
              "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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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 NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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 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 UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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 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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 94.6,
              "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,
              "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,
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "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": 67.4,
              "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": 67.4,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 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": "BUCKEYE COMMUNITY 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": "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": "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "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": 0.88
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "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": 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": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "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": 0.88
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
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              "payer_name": "AHPO [305]",
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              "estimated_amount": 0.95
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            {
              "payer_name": "FIRST HEALTH [408]",
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              "estimated_amount": 0.95
            },
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              "payer_name": "COVENTRY [406]",
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              "estimated_amount": 0.85
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              "payer_name": "COVENTRY [406]",
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              "estimated_amount": 0.85
            },
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              "payer_name": "COFINITY [407]",
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              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
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              "estimated_amount": 0.85
            },
            {
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              "estimated_amount": 0.95
            },
            {
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              "estimated_amount": 0.85
            },
            {
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              "estimated_amount": 0.95
            },
            {
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              "estimated_amount": 0.85
            },
            {
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              "estimated_amount": 0.85
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              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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            {
              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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            {
              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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            {
              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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            {
              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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            {
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              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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            {
              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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            {
              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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            {
              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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            {
              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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              "payer_name": "AETNA [310]",
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              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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            {
              "payer_name": "AETNA [310]",
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              "estimated_amount": 0.95
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            {
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              "estimated_amount": 0.95
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              "estimated_amount": 0.95
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              "estimated_amount": 0.95
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              "estimated_amount": 0.95
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              "estimated_amount": 0.95
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              "estimated_amount": 0.95
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              "estimated_amount": 0.95
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              "payer_name": "ANTHEM [335]",
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              "estimated_amount": 0.98
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            {
              "payer_name": "ANTHEM [335]",
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              "standard_charge_percentage": 100,
              "estimated_amount": 1
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              "estimated_amount": 0.98
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            {
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              "standard_charge_percentage": 100,
              "estimated_amount": 1
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            {
              "payer_name": "ANTHEM [335]",
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            {
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              "estimated_amount": 1
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            {
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            {
              "payer_name": "ANTHEM [335]",
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            {
              "payer_name": "ANTHEM [335]",
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              "estimated_amount": 0.98
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              "payer_name": "HEALTHREACH [540]",
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              "estimated_amount": 0.55
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              "payer_name": "HEALTHREACH [540]",
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              "estimated_amount": 0.55
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              "payer_name": "HEALTHREACH [540]",
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              "payer_name": "HEALTHREACH [540]",
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            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "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": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "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": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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 UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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 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 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 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 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 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/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": "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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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 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 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 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 STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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 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": "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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "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,
              "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/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 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": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "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": 67.4,
              "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": 67.4,
              "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": 67.4,
              "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": 67.4,
              "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": 67.4,
              "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": 67.4,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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,
              "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": "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "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": 0.88
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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": "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 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* [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": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 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 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 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 PPO [555205]",
              "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": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC 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": "MOLINA 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": "UHC 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": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
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            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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/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 GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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,
              "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 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 NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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/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 UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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 OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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": "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 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": "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": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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 OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": "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 CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "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,
              "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 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 POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "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": 67.4,
              "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": 67.4,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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,
              "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": "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": "CENPATICO [280400]",
              "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": "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": "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": "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": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "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": 0.88
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "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": 0.88
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "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": 0.88
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "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": 0.55
            },
            {
              "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": "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 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* [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": "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": "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 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": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "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": "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": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "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 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": "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 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 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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 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": "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": "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": "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": "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": "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": "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": "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "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": 97.8,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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": 97.8,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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": 97.8,
              "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": 97.8,
              "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": 97.8,
              "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": 97.8,
              "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": 0.55
            },
            {
              "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": "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": "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": "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": "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": "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": "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "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": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 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 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 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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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 OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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": "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 UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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": "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 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 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/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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 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 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 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 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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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/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 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 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 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 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/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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 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": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 0.65
            },
            {
              "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": 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": "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": "MOLINA 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": "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": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": "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 MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "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": 67.4,
              "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": 67.4,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 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": "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": "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": "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "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": 0.88
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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
            },
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            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "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": 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 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 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 TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": 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 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": "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 OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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 OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": "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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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": "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 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 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": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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": "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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "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": 67.4,
              "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": 67.4,
              "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": 67.4,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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,
              "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": "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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "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": 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": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "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": 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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "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": "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": "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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "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": 97.8,
              "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": 97.8,
              "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": 97.8,
              "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": 97.8,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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": "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 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": "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 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 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 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 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": "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": "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": "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "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": 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": "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 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 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": "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 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": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 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": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 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": "UHC 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": "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": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "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": 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": "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/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": "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 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": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": "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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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 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 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 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 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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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,
              "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 OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 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": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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": 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": 94.6,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.95
            },
            {
              "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 MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 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": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "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": 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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.55
            },
            {
              "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 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": "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": "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": "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": "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": "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": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "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": "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 HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 0.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 0.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 0.65
            },
            {
              "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": "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": "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": "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": "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": "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": "OUTPATIENT"
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 28000,
          "discounted_cash": 18200,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 26712
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 26880
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 26880
            },
            {
              "payer_name": "BUCKEYE COMMUNITY 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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 27384
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 26600
            },
            {
              "payer_name": "UHC 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"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 26712
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 26712
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 27384
            },
            {
              "payer_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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 8680,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8680
            },
            {
              "payer_name": "HUMANA [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": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 28000
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8680
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 26712
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 27020
            },
            {
              "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 OPTIONS PPO [625210]",
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 26880
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 26880
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 26712
            },
            {
              "payer_name": "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": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 26600
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15400
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8680
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 26600
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8680
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23800
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 26712
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 26712
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 26712
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 26740
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8680
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 26600
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 26600
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 26880
            },
            {
              "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": 28000,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 26712
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 26712
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 27020
            },
            {
              "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": "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": "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": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 26740
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 8680,
              "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": 15400
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 26600
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 9520
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 26600
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 26712
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 26740
            },
            {
              "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8680
            },
            {
              "payer_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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 9520
            },
            {
              "payer_name": "MOLINA 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": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 26740
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 26740
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 27020
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 9520
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15400
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 26600
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 9520
            },
            {
              "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": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 26712
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 26712
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 26712
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 27020
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 26740
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 26740
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 26600
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8680
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 8680,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 26740
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 26740
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8680
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 26600
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 26740
            },
            {
              "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": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 26600
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 26880
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 26712
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 27020
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 27020
            },
            {
              "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": "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": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 18872
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 27384
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 9520
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8680
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 26880
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 27384
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15400
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 26600
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 26600
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 26712
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 27020
            },
            {
              "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8680
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 26600
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 26712
            },
            {
              "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": "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": "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": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23800
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23800
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 26712
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 25000,
          "discounted_cash": 16250,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23850
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23850
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23875
            },
            {
              "payer_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": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21250
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 24450
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23750
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23750
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24000
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23850
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23850
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23875
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23875
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 23650
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23750
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23750
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23750
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21250
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13750
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23750
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 23650
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 16850
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23850
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23850
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 23650
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 23650
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23750
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13750
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13750
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23875
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 23650
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8500
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24125
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 23650
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 23650
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24000
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23850
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23850
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23850
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23875
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23750
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7750
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7750
            },
            {
              "payer_name": "HUMANA [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": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 23650
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7750
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13750
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23750
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24125
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 23650
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7750
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24000
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23850
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23850
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24125
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23875
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23875
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 23650
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24000
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24000
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 24450
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8500
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8500
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24000
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23850
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23850
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23875
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 23650
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 23650
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23750
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7750
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7750
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24125
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23875
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 23650
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23850
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23850
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 23650
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 23650
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7750
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23750
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23750
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7750
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24000
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24125
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24125
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 23650
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8500
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23750
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 24450
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 24450
            },
            {
              "payer_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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13750
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7750
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 23650
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23850
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23850
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23875
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7750
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23750
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8500
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23850
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24125
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13750
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 26000,
          "discounted_cash": 16900,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24804
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24830
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24830
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 8060,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24804
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 25090
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24830
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24830
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24960
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24700
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 25428
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 26000
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 25428
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24700
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24804
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24804
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24804
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24804
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24830
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24830
            },
            {
              "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": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24830
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24830
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24960
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 8060,
              "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": 95,
              "estimated_amount": 24700
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8060
            },
            {
              "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": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "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 AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24804
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 25090
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24700
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14300
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24700
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8060
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8840
            },
            {
              "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": "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": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24804
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24804
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 25090
            },
            {
              "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8060
            },
            {
              "payer_name": "BUCKEYE COMMUNITY 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"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24700
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24700
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8840
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24960
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24960
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24700
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24700
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24700
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24700
            },
            {
              "payer_name": "UHC 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": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 25090
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24960
            },
            {
              "payer_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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14300
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24700
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24804
            },
            {
              "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": "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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 22100
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24804
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24804
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24804
            },
            {
              "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": "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": "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": "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8060
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 22100
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14300
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8060
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24804
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8840
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 25090
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8060
            },
            {
              "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": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24700
            },
            {
              "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": "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 POS/EPO [625220]",
              "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": "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24960
            },
            {
              "payer_name": "MOLINA 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": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24804
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8060
            },
            {
              "payer_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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8060
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24960
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 25428
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8840
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8840
            },
            {
              "payer_name": "HUMANA [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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14300
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24700
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24804
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24804
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 25090
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24830
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 25090
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24830
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 17524
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 22100
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 25428
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14300
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8060
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 8060,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8060
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24804
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 3500,
          "discounted_cash": 2275,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3339
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3360
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1925
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3325
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3339
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3339
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3311
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1085
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1085
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1085
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3360
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3423
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1925
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3325
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1085
            },
            {
              "payer_name": "HUMANA [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": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3339
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3377.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3342.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3311
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3311
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3325
            },
            {
              "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 TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3377.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3342.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3311
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3311
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3325
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1190
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1190
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3339
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3311
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3311
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3325
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1190
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3377.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3342.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3342.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3360
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3339
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3339
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3342.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3311
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3311
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 2359
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3325
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1085
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3423
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3325
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1085
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3339
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3377.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3377.5
            },
            {
              "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": 3080
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3339
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3377.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3342.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3342.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3311
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3360
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3325
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3339
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3339
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3311
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1085
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1085
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3325
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1190
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3339
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3342.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3360
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3423
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3325
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3339
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3339
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3377.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3342.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3311
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3311
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3311
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1925
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1190
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3423
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1925
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3325
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3339
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3339
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3339
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3339
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3342.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3311
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3360
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3360
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3325
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2975
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3311
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1085
            },
            {
              "payer_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": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3325
            },
            {
              "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": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3311
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1925
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3325
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1085
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 200,
          "discounted_cash": 130,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 190.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 193
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 189.2
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 190
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 170
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 190.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 191
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 190
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 110
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 110
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 190
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 191
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
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              "standard_charge_percentage": 94.6,
              "estimated_amount": 189.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 189.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 189.2
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 192
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 189.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 189.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 192
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 190
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 62
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 192
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 190.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 190.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 192
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 190
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 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": 130
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 190.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 193
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
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              "standard_charge_percentage": 94.6,
              "estimated_amount": 189.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 189.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 189.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 190.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 193
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 191
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 195.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 110
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 190
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 68
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 190.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 189.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 189.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 195.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 190.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 190.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 193
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 191
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 189.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 189.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 192
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 190.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 193
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 191
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 190
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 190
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 195.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 191
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "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": 95,
              "estimated_amount": 190
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 190
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 190.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 190.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 190.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 193
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 191
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 191
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 190
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 190.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 191
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 189.2
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 134.8
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 190.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 191
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 189.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 190
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 195.6
            },
            {
              "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": 110
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 190.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 190.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 193
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 62
            },
            {
              "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": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 189.2
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 62
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 190
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 62
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 190
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 190.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 189.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 192
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 192
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 17000,
          "discounted_cash": 11050,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16218
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16218
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 16082
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 16082
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 16082
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16150
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16218
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16218
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16405
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16405
            },
            {
              "payer_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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14450
            },
            {
              "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": "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 17000
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 16626
            },
            {
              "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": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9350
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9350
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16150
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16218
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16235
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 16082
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 16082
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 16082
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 16320
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5270
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16150
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16218
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16235
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 16082
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 16626
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16150
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5270
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5780
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5780
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5270
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16150
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 16320
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16218
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16405
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16405
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16235
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5270
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5270
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5780
            },
            {
              "payer_name": "HUMANA [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": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16218
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16235
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 16082
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 16320
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16218
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 16320
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16150
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5270
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16150
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5270
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16150
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 16320
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16218
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16405
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16235
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 16082
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 16082
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16218
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16235
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 16082
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 16082
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 16626
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16150
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16150
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16150
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5270
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9350
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5780
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16235
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16235
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16218
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16218
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 16082
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 11458
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 16082
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5270
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9350
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16405
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16235
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 16082
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 16320
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16218
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16218
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16218
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16235
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 16082
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 16082
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5270
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16150
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14450
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 16626
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16218
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16218
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16405
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16150
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16150
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5780
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 16320
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 2500,
          "discounted_cash": 1625,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2385
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2385
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2412.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2387.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2387.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2365
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2400
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2375
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1375
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2375
            },
            {
              "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": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2385
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2365
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2400
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2375
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2125
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2385
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2385
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2365
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2365
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 775
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2385
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2412.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2387.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2400
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2445
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 775
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2400
            },
            {
              "payer_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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1375
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2375
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2412.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2412.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2365
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1375
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 775
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 2375
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2400
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2412.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2365
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 775
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2385
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2387.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2365
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2375
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2375
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 850
            },
            {
              "payer_name": "HUMANA [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": "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 MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 850
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2385
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2385
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2412.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2387.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2365
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2365
            },
            {
              "payer_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": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2500
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2400
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2385
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2385
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2387.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2365
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2365
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2375
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2375
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2375
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 775
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 850
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2445
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2412.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 775
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2400
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2445
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 775
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2385
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2365
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2365
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2365
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2375
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2375
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 850
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2385
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2387.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2387.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2387.5
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 1685
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2445
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 775
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 2375
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2385
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2387.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 775
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2385
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2385
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2385
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2385
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2365
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2125
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2375
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2365
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 2365
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 775
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 32500,
          "discounted_cash": 21125,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 96.5,
              "estimated_amount": 31362.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
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              "standard_charge_percentage": 95.5,
              "estimated_amount": 31037.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
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              "standard_charge_percentage": 95.5,
              "estimated_amount": 31037.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
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              "standard_charge_percentage": 95.5,
              "estimated_amount": 31037.5
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 94.6,
              "estimated_amount": 30745
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 94.6,
              "estimated_amount": 30745
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 30875
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 11050
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 30875
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
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              "standard_charge_percentage": 96.5,
              "estimated_amount": 31362.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
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              "standard_charge_percentage": 94.6,
              "estimated_amount": 30745
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
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              "standard_charge_percentage": 96.5,
              "estimated_amount": 31362.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31037.5
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 94.6,
              "estimated_amount": 30745
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 11050
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
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              "standard_charge_percentage": 94.6,
              "estimated_amount": 30745
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
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              "standard_charge_percentage": 94.6,
              "estimated_amount": 30745
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 30745
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10075
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 21905
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10075
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 31362.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 30745
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 30745
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 30745
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30875
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 30745
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10075
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 31785
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30875
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 11050
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10075
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 31200
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31037.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 30745
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 30745
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 30745
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17875
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10075
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 31362.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 30745
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 31200
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31037.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17875
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17875
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30875
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 11050
            },
            {
              "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": "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30875
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30875
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30875
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 31362.5
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 31200
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10075
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 31362.5
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30875
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17875
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31037.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 31200
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30875
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 31200
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31037.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31037.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31037.5
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10075
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30875
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 31785
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30875
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30875
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10075
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 31200
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 11050
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 31200
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27625
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 30745
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30875
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 31785
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 31785
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31005
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 30745
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10075
            },
            {
              "payer_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 MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10075
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 3900,
          "discounted_cash": 2535,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3720.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3724.5
            },
            {
              "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 FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3814.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2145
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3720.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3720.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3720.6
            },
            {
              "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": 95.4,
              "estimated_amount": 3720.6
            },
            {
              "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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3315
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3705
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1209
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1209
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "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": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1209,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3724.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3724.5
            },
            {
              "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": "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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3705
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3720.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3720.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3724.5
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 2628.6
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3900,
              "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": 2145
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3705
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1209
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1326
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3705
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3814.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3814.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3705
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3705
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3705
            },
            {
              "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": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3724.5
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3705
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1209
            },
            {
              "payer_name": "UHC 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": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3720.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3720.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3720.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3720.6
            },
            {
              "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": "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 UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1209,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1209
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3705
            },
            {
              "payer_name": "MOLINA 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": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3720.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3763.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3900,
              "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": 3900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1209
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3744
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3720.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3763.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3763.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2145
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2145
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3705
            },
            {
              "payer_name": "HUMANA [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": "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1209,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3763.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3763.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3724.5
            },
            {
              "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": "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 MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1209
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3744
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3724.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3724.5
            },
            {
              "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 CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3900,
              "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": 95,
              "estimated_amount": 3705
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3814.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3724.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3744
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1326
            },
            {
              "payer_name": "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3744
            },
            {
              "payer_name": "BUCKEYE COMMUNITY 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": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3705
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3705
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3315
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1209
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1326
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1326
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3720.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3720.6
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3744
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3720.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3720.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3763.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3724.5
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1209
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3744
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3315
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1209
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3744
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3720.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3763.5
            },
            {
              "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": 3900,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3705
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1326
            },
            {
              "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": 3900,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 1000,
          "discounted_cash": 650,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 954
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 955
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 310
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 950
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 550
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 310
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1000,
              "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": 97.8,
              "estimated_amount": 978
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 950
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 850
            },
            {
              "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": 1000,
              "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": 95,
              "estimated_amount": 950
            },
            {
              "payer_name": "MOLINA 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": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1000,
              "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": 95.4,
              "estimated_amount": 954
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 955
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 955
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 960
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 950
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 340
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 310
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 954
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 954
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 955
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 950
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 550
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 950
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 950
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 310
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 954
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 965
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 965
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 965
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 955
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 955
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1000,
              "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": 1000,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 954
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1000,
              "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": 850
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 550
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 340
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 960
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 954
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 954
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 965
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 310
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 310,
              "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": 550
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 950
            },
            {
              "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": "UHC 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": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 965
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1000,
              "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": 1000,
              "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": 95.4,
              "estimated_amount": 954
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 310
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 950
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 310,
              "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": 1000,
              "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": 1000,
              "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": 95,
              "estimated_amount": 950
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 340
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 954
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 954
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 954
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 954
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 955
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 955
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1000,
              "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": 1000,
              "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": 96,
              "estimated_amount": 960
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 950
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 978
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 310
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 310
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 674
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 960
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 340
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 310,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 960
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 954
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 954
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 954
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 965
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1000,
              "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": 1000,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 960
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 550
            },
            {
              "payer_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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 310
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 950
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 978
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 954
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 965
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1000,
              "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": 650
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 955
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1000,
              "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": 1000,
              "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": 880
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 978
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 950
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 954
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 955
            },
            {
              "payer_name": "BUCKEYE COMMUNITY 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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 850
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 950
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 340
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 310
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 960
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 6450,
          "discounted_cash": 4192.5,
          "payers_information": [
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6224.25
            },
            {
              "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": 6450,
              "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": 6450,
              "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": 6450,
              "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": 3547.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2193
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6159.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6450,
              "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": 3547.5
            },
            {
              "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": 6450,
              "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": 3547.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2193
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6192
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6153.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6224.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6450,
              "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": 6450,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1999.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6192
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6127.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6153.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6224.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3547.5
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6127.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6127.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6127.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6153.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6450,
              "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": 6450,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1999.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1999.5
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 4347.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6308.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1999.5,
              "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": "UHC 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": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6153.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6450,
              "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": 95.4,
              "estimated_amount": 6153.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6224.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6159.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6159.75
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1999.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1999.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1999.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6127.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6127.5
            },
            {
              "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": 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": 95.5,
              "estimated_amount": 6159.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6159.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6450,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1999.5
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6127.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6153.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6153.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6159.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6450,
              "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": 96,
              "estimated_amount": 6192
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6153.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6153.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6153.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6159.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6450,
              "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": 6450,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6127.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6127.5
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3547.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1999.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6192
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6153.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6450,
              "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": 6450,
              "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": 6450,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6308.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6308.1
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1999.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2193
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6153.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6224.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6159.75
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6127.5
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6153.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6450,
              "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": 96,
              "estimated_amount": 6192
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6192
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6127.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6153.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6224.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6450,
              "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": 6450,
              "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": 6450,
              "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": 5482.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6127.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2193
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1999.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6153.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6153.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2193
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6192
            },
            {
              "payer_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": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6153.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6224.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6159.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6159.75
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6127.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6308.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1999.5
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6153.3
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1999.5,
              "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": 95,
              "estimated_amount": 6127.5
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 3250,
          "discounted_cash": 2112.5,
          "payers_information": [
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3136.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3136.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3136.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3103.75
            },
            {
              "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": 3250,
              "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": 2762.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3087.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3087.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3120
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3100.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3250,
              "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": 3250,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1007.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3120
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3120
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1007.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3087.5
            },
            {
              "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": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1787.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3087.5
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1105
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1105
            },
            {
              "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": 3250,
              "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": 1787.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3087.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3100.5
            },
            {
              "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": 95.4,
              "estimated_amount": 3100.5
            },
            {
              "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": 2860
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3087.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3100.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3103.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3103.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3103.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3250,
              "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": 95.4,
              "estimated_amount": 3100.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3100.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3100.5
            },
            {
              "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": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3100.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3136.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3250,
              "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": 3250,
              "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": 95.5,
              "estimated_amount": 3103.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3250,
              "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": 1787.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1007.5,
              "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": 96,
              "estimated_amount": 3120
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3087.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1007.5
            },
            {
              "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": "MOLINA 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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3100.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3250,
              "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": 3250,
              "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": 95,
              "estimated_amount": 3087.5
            },
            {
              "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": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1787.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1007.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3087.5
            },
            {
              "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": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3103.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3250,
              "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": 3250,
              "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": 3250,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1007.5
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3120
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3178.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1007.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1105
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3100.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3250,
              "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": 95,
              "estimated_amount": 3087.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1105
            },
            {
              "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 MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2762.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1007.5
            },
            {
              "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": 3250,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3100.5
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 2190.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3120
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1007.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3100.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3100.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3100.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3136.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3250,
              "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": 3250,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1007.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1007.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1007.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3178.5
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1105
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3100.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3100.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3103.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3103.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3250,
              "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": 96,
              "estimated_amount": 3120
            },
            {
              "payer_name": "BUCKEYE COMMUNITY 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": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3100.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3136.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3103.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3103.75
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3087.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3178.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3178.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3100.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3136.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3250,
              "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": 3250,
              "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": 3250,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2762.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3087.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3087.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1007.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3087.5
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 1300,
          "discounted_cash": 845,
          "payers_information": [
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1254.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1254.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1300,
              "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": 1300,
              "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": 715
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1235
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1235
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1240.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1241.5
            },
            {
              "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": 1300,
              "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": 95,
              "estimated_amount": 1235
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1235
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 715
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1105
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 442
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1248
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 442
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 403,
              "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": 95.4,
              "estimated_amount": 1240.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1300,
              "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": 96,
              "estimated_amount": 1248
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 403,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1105
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1235
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 403
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1235
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 403
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 403
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1254.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1241.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1241.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 403
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1240.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1240.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1300,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 403
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1248
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1300,
              "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": 95,
              "estimated_amount": 1235
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1235
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 403
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1235
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1248
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1240.2
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 403
            },
            {
              "payer_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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 715
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1235
            },
            {
              "payer_name": "UHC 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"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1254.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1241.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1241.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1300,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1240.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1300,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 403
            },
            {
              "payer_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": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1248
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1271.4
            },
            {
              "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": 1300,
              "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": 715
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1105
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1248
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1240.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1240.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1241.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1300,
              "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": 96,
              "estimated_amount": 1248
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1235
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1271.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1240.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1240.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1240.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1254.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1241.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1300,
              "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": 97.8,
              "estimated_amount": 1271.4
            },
            {
              "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": 715
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 715
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1241.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1241.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1300,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 403
            },
            {
              "payer_name": "HUMANA [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": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1300,
              "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": 1300,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 715
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 442
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 442
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 403,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 442
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1271.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1240.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1240.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1240.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1254.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1300,
              "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": 1300,
              "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": 1300,
              "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": 1300,
              "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": 95.4,
              "estimated_amount": 1240.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1240.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1240.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1240.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1254.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1241.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1300,
              "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": 1300,
              "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": 1300
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1235
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1235
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 876.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1235
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 9750,
          "discounted_cash": 6337.5,
          "payers_information": [
            {
              "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3022.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9535.5
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9262.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3022.5,
              "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": 95.4,
              "estimated_amount": 9301.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9301.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9301.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9311.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9311.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9311.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9311.25
            },
            {
              "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 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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5362.5
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3022.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3022.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3022.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9360
            },
            {
              "payer_name": "MOLINA 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": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9301.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9408.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9311.25
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9262.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9408.75
            },
            {
              "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": 9750,
              "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": 9750,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3022.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9360
            },
            {
              "payer_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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3315
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9262.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3315
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9301.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9311.25
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3022.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9262.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9535.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9311.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 9750,
              "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": 9750,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9301.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9311.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9750,
              "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": 9750,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9360
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9262.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9535.5
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8287.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9408.75
            },
            {
              "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": "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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8287.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9262.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9262.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9408.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9408.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9301.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9301.5
            },
            {
              "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": "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3022.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3315
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3315
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9262.5
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 9750
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9262.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3022.5
            },
            {
              "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": 95.4,
              "estimated_amount": 9301.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9311.25
            },
            {
              "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": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 6571.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9360
            },
            {
              "payer_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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5362.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9262.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9360
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9301.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9301.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9408.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9301.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9301.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9301.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9311.25
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3022.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3022.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5362.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9262.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 6337.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9360
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9301.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9750,
              "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": 9750,
              "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": 96,
              "estimated_amount": 9360
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8287.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9535.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3022.5,
              "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": 9750,
              "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": 9750,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9262.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9262.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9301.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9408.75
            },
            {
              "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": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9262.5
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3022.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9301.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9301.5
            },
            {
              "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"
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 1400,
          "discounted_cash": 910,
          "payers_information": [
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1400,
              "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": 1400,
              "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": 1400,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 434
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 770
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1330
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 476
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1335.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1351
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1351
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1337
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1400,
              "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": 1400,
              "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": 1400,
              "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": 1400,
              "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": 770
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 434
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 476
            },
            {
              "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": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1335.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1335.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1335.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1351
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1337
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 943.6
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1330
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1369.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1330
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1190
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1344
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1337
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1400,
              "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": 1400,
              "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": 770
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 476
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1335.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1335.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1344
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1344
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1335.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1335.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1335.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1337
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1344
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 434,
              "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": 770
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 434
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 1335.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1400,
              "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": 1190
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1369.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1330
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1335.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1335.6
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1344
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1337
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1369.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1330
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1330
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 434
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1190
            },
            {
              "payer_name": "HUMANA [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": "UHC 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 SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1335.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1400,
              "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": 1400,
              "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": 95,
              "estimated_amount": 1330
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1369.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1344
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1400,
              "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": 1190
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1335.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1335.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1351
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1337
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1400,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 434
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1330
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 434,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 434
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1344
            },
            {
              "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": 1400,
              "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": 1400,
              "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": 1400,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 434
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 434
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 434
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 434
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 476
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1351
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1337
            },
            {
              "payer_name": "BUCKEYE COMMUNITY 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": "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1330
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1335.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1335.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1335.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1351
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1337
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1337
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1400,
              "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": 770
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1330
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1330
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 434,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1351
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1337
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1400,
              "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": 1232
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1330
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1330
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1330
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 850,
          "discounted_cash": 552.5,
          "payers_information": [
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 804.1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 807.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 831.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 807.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 820.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 820.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 811.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 804.1
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 816
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 816
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 807.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 807.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 807.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 811.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 811.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 804.1
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 807.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 807.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 807.5
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 816
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 831.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 804.1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.5
            },
            {
              "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 MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 722.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 811.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 804.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 816
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 807.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 289
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 289
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 831.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 831.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 820.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 807.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 807.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 811.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 804.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 804.1
            },
            {
              "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": 748
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 804.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 804.1
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 807.5
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 807.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 289
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 804.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 804.1
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 572.9
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.5
            },
            {
              "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": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 467.5
            },
            {
              "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": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 820.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 804.1
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 722.5
            },
            {
              "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": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 804.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 804.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 816
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.5
            },
            {
              "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": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 811.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 811.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 811.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 804.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 804.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 816
            },
            {
              "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 MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 289
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 807.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 820.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 820.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 820.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 804.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 289
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 816
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 810.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 811.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 811.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 722.5
            }
          ]
        }
      ]
    },
    {
      "description": "Esteem Sterile Pwder Free Nitrile Exam Gloves M (Pairs)",
      "code_information": [
        {
          "code": "PX-CH5588SNP03M",
          "type": "CDM"
        },
        {
          "code": "A4930",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.65,
          "discounted_cash": 0.42,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 0.55
            },
            {
              "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": 95.4,
              "estimated_amount": 0.62
            },
            {
              "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": "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/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": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.62
            },
            {
              "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": 0.65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.62
            },
            {
              "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 MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 0.62
            },
            {
              "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 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 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 CHOICE [625225]",
              "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": "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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 0.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.62
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.62
            },
            {
              "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": "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.36
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.65,
              "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": 95.5,
              "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": 95.5,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.62
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.62
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 0.62
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.62
            },
            {
              "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.62
            },
            {
              "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": "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": "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": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.22
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.65,
              "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": 95,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.62
            },
            {
              "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/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": "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 OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.62
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2,
              "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": 95,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Pre Cut Ext Wear 1 1-4 in New Image",
      "code_information": [
        {
          "code": "PX-CHHO14706",
          "type": "CDM"
        },
        {
          "code": "A4409",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.59,
          "discounted_cash": 0.38,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.18
            },
            {
              "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": 0.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 97.8,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.18,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.59,
              "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": 0.59,
              "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": 0.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.18
            },
            {
              "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": 0.59,
              "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": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.59,
              "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": 95,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.59,
              "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": 95,
              "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": 95.4,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 96,
              "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": 0.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.5,
              "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": 95.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.59,
              "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": 0.59,
              "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": 0.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.56
            },
            {
              "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": 95.4,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.32
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 0.56
            },
            {
              "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": 0.59,
              "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": 95,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 97.8,
              "estimated_amount": 0.58
            },
            {
              "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": 0.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.59,
              "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": 0.59,
              "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": 0.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.18,
              "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": 95,
              "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": 96.5,
              "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": 0.59,
              "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": 96,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 0.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 0.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.59,
              "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": 0.59,
              "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": 0.59,
              "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": 96,
              "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": 0.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.59,
              "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": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.18,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "\"Sani-Cloth Super Individual 11-1-2\"\" X 11-3-4\"\" No to Ca!\"",
      "code_information": [
        {
          "code": "PX-CHPYU87295",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.28,
          "discounted_cash": 0.18,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.28,
              "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": 0.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 96,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.28,
              "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": 0.28,
              "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": 0.28,
              "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": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.28,
              "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": 0.28,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.24
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.28,
              "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": 95.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.28,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.28,
              "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": 0.28,
              "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": 96,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.28,
              "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": 0.28,
              "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": 95,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "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": 95.5,
              "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": 0.28,
              "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": 0.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "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": 95.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 96,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 0.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.28,
              "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": 0.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.27
            },
            {
              "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": 0.28,
              "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": 0.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.28,
              "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": 97.8,
              "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": 0.15
            }
          ]
        }
      ]
    },
    {
      "description": "Bronchoscopy Cyro Disposable Probe",
      "code_information": [
        {
          "code": "PX-27200565",
          "type": "CDM"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1084,
          "discounted_cash": 704.6,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1034.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1025.46
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 336.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1084
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 596.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 336.04
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 368.56
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1040.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1034.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1035.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1035.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1025.46
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1040.64
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 921.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1034.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1034.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1046.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1046.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1035.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1025.46
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 336.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1060.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 336.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 596.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1034.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1034.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1025.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1025.46
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 336.04
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 336.04
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 730.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 596.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1029.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1029.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 336.04
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1040.64
            },
            {
              "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": 704.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1035.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1035.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1025.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1034.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1034.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1034.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1046.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1046.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1046.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1025.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1025.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1025.46
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1029.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 368.56
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1029.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1029.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 921.4
            },
            {
              "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": 95.4,
              "estimated_amount": 1034.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1035.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1035.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1025.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1029.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1034.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1034.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1034.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1035.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1025.46
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1040.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1040.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1034.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1025.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1025.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1029.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 336.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1029.8
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1029.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1060.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1029.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1029.8
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1040.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1034.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1025.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1025.46
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1029.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1034.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1034.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1046.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1040.64
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1029.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1029.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 336.04
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 921.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1025.46
            },
            {
              "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": 953.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 596.2
            },
            {
              "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": 596.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 596.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 368.56
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 921.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1060.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 368.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1034.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1046.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1035.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1035.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1025.46
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 336.04
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 921.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 596.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 368.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1060.15
            }
          ]
        }
      ]
    },
    {
      "description": "Bronchoscopy Thoracentesis Wayne Trocar Set",
      "code_information": [
        {
          "code": "PX-27200570",
          "type": "CDM"
        },
        {
          "code": "C1729",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 216,
          "discounted_cash": 140.4,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 206.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 207.36
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 216,
              "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": 97.8,
              "estimated_amount": 211.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 183.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 206.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 216,
              "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": 95,
              "estimated_amount": 205.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 73.44
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 207.36
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 207.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 206.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 206.28
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 206.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 206.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 206.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 206.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 208.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 206.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 216,
              "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": 216,
              "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": 216,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 211.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 205.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 205.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 205.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 206.06
            },
            {
              "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": 95.4,
              "estimated_amount": 206.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 206.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 208.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 206.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 216,
              "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": 95,
              "estimated_amount": 205.2
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 183.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 205.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 183.6
            },
            {
              "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": 216,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 206.06
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.96
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 205.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 206.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 207.36
            },
            {
              "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": 190.08
            },
            {
              "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": 118.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 205.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 73.44
            },
            {
              "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": 216,
              "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": 97.8,
              "estimated_amount": 211.25
            },
            {
              "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": 216,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 206.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 206.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 216,
              "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": 216,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 205.2
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.96,
              "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": 96,
              "estimated_amount": 207.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 216,
              "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": 216,
              "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": 216,
              "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": 95.4,
              "estimated_amount": 206.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 206.06
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 205.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 73.44
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 183.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.96
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 216,
              "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": 216,
              "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": 95,
              "estimated_amount": 205.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 216
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 118.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 205.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 205.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 206.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 206.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 208.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 206.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 216,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 206.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 208.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 216,
              "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": 216,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 207.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 118.8
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.96,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 206.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 208.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 208.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 206.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 216,
              "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": 67.4,
              "estimated_amount": 145.58
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 207.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 211.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 118.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 183.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 73.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 118.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 118.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 206.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 216,
              "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": 216,
              "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": 216,
              "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": 183.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 208.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 118.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 205.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 73.44
            },
            {
              "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": 140.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 206.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 206.06
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.96,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "Cardiac Ablation Radiation Non-Invasive Arrhythmia",
      "code_information": [
        {
          "code": "PX-48000100",
          "type": "CDM"
        },
        {
          "code": "0745T",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 10004,
          "discounted_cash": 6502.6,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9543.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9543.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9553.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10004,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3101.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8503.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9543.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9543.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9653.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9653.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9553.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10004,
              "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": 96,
              "estimated_amount": 9603.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5502.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3101.24
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3101.24
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3401.36
            },
            {
              "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": 5502.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9603.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9653.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10004,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3101.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9603.84
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3101.24
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9503.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9543.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10004,
              "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": 10004
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9783.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5502.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9503.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9503.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3101.24
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3401.36
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8503.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9603.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9543.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9653.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9553.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9553.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9553.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5502.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9503.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9503.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3101.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9543.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9543.82
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9503.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10004,
              "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": 67.4,
              "estimated_amount": 6742.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8503.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9783.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5502.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9503.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9543.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9543.82
            },
            {
              "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": 10004,
              "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": 10004,
              "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": 10004,
              "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": 5502.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9543.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9543.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9553.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10004,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9603.84
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8503.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9553.82
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3401.36
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3401.36
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9503.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9553.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10004,
              "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": 10004,
              "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": 10004,
              "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": 96,
              "estimated_amount": 9603.84
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3101.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3101.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9653.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10004,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9543.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9543.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9553.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10004,
              "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": 8503.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9543.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9543.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9653.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9553.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9783.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9503.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3401.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9503.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9503.8
            },
            {
              "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": 95.4,
              "estimated_amount": 9543.82
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9603.84
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3101.24
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9503.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9653.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10004,
              "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": 10004,
              "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": 95,
              "estimated_amount": 9503.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9783.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9503.8
            },
            {
              "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": 6502.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9543.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10004,
              "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": 8803.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5502.2
            }
          ]
        }
      ]
    },
    {
      "description": "Thiopurine S-Methyltransferase Sendout",
      "code_information": [
        {
          "code": "PX-30101546",
          "type": "CDM"
        },
        {
          "code": "84433",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 490,
          "discounted_cash": 318.5,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 467.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 467.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 470.4
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 465.5
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 467.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 470.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 470.4
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 269.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 465.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 159.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 467.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 472.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 470.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 470.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 470.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 470.4
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 416.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 151.9
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 151.9
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 465.5
            },
            {
              "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": "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 [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 467.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 467.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 467.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 467.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 472.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 470.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 470.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 479.22
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 465.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 151.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 151.9
            },
            {
              "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": 318.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 467.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 467.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 470.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 470.4
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 151.9
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 465.5
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 153.42,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 166.6
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 479.22
            },
            {
              "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": 269.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 465.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 166.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 467.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 470.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 470.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 470.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 479.22
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 159.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 470.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 467.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 472.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 470.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 470.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 465.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 465.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 465.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 470.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 269.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 151.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 166.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 470.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 151.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 472.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 470.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 470.4
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 465.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 467.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 467.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 472.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 470.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 470.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 470.4
            },
            {
              "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": 431.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 465.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.17,
              "estimated_amount": 22.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 467.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 472.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 472.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 470.4
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 151.9
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 151.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 465.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 467.46
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 166.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 470.4
            },
            {
              "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": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 467.46
            },
            {
              "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": 95.4,
              "estimated_amount": 467.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 470.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 470.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 465.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 166.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 151.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 470.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 470.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 470.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 470.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 479.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 465.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 470.4
            }
          ],
          "minimum": 22.17,
          "maximum": 22.17
        }
      ]
    },
    {
      "description": "Enema Saline 4.5 Oz Ready to Use",
      "code_information": [
        {
          "code": "PX-CHGDDNP00004",
          "type": "CDM"
        },
        {
          "code": "A4649",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.62,
          "discounted_cash": 1.05,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.62,
              "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": 1.62,
              "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": 96,
              "estimated_amount": 1.56
            },
            {
              "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": 1.62,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.54
            },
            {
              "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": 1.62,
              "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": 95.4,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.62,
              "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": 0.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.62,
              "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": 0.89
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.62,
              "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": 1.62,
              "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": 1.62,
              "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": 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": 95.4,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.62,
              "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": 0.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 1.62,
              "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": 1.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.5
            },
            {
              "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": 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": 95.4,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 1.62,
              "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": 1.38
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.5,
              "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": 96,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 96.5,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 1.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.5,
              "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": 95,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.62,
              "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": 1.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.62,
              "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": 96,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.62,
              "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": 1.62
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.62,
              "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": 1.62,
              "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": 96,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 97.8,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.54
            }
          ]
        }
      ]
    },
    {
      "description": "Cath Tray Hydrogel Coated Red Rubber 14 Fr",
      "code_information": [
        {
          "code": "PX-CH683217",
          "type": "CDM"
        },
        {
          "code": "A4353",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.23,
          "discounted_cash": 2.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.6
            },
            {
              "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": 95.4,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.23,
              "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": 4.23,
              "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": 4.23,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.23,
              "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": 4.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.23,
              "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": 95,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.08
            },
            {
              "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": 3.72
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.23,
              "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": 4.23,
              "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": 4.23,
              "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": 97.8,
              "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": 2.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.31
            },
            {
              "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": 4.23,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.23,
              "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": 4.23,
              "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": 95,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.33
            },
            {
              "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": 2.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.23,
              "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": 4.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.33
            },
            {
              "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": 4.23,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 3.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.23,
              "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": 4.23,
              "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": 4.23,
              "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": 95.5,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.23,
              "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": 95,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.31,
              "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": 96,
              "estimated_amount": 4.06
            }
          ]
        }
      ]
    },
    {
      "description": "Electrical Stimulation for Wound Care",
      "code_information": [
        {
          "code": "PX-42000138",
          "type": "CDM"
        },
        {
          "code": "G0281",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 114,
          "discounted_cash": 74.1,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 108.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 114,
              "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": 114,
              "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": 114,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 96.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 62.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 108.87
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 96.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 111.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 111.49
            },
            {
              "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": 62.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 62.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 62.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "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": 74.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 111.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 62.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 108.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 114,
              "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": 114,
              "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": 114,
              "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": 114,
              "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": 114,
              "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": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 96.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 114,
              "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": 100.32
            },
            {
              "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": 100.32
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 96.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 38.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 38.76
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 111.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 62.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 108.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 108.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 108.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 108.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 114,
              "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": 114,
              "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": 114,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 76.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 114
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 62.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 62.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 96.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 96.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 38.76
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 108.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 108.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 108.87
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "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": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 108.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 114,
              "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": 114,
              "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": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 38.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 38.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 38.76
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 111.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 62.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 38.76
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 96.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "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": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 108.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 108.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 114,
              "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": 114,
              "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": 114,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 62.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 62.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 62.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 96.9
            },
            {
              "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": 74.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 108.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 108.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 108.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 114,
              "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": 114,
              "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": 114,
              "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": 114,
              "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": 114,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 108.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 114,
              "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": 114,
              "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": 114,
              "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": 114,
              "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": 114,
              "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": 67.4,
              "estimated_amount": 76.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 111.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 111.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 62.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 62.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 111.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 62.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 62.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 38.76
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 38.76
            },
            {
              "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": 74.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 108.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 114,
              "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": 114,
              "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": 114,
              "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": 114,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 111.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 62.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 38.76
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 38.76
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 108.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 108.87
            },
            {
              "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": 114,
              "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": 114,
              "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": 100.32
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 111.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 108.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 108.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 114,
              "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": 114,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 96.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 38.76
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 96.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 96.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 38.76
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 114,
              "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": 114,
              "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": 114,
              "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": 114,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 111.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 114
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 114
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 96.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 38.76
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 62.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 62.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 38.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 108.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 108.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 108.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 108.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 108.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 114,
              "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": 114,
              "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": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "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": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 108.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 108.87
            },
            {
              "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": 114,
              "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": 114,
              "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": 114,
              "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": 114,
              "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": 67.4,
              "estimated_amount": 76.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 109.44
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 96.9
            },
            {
              "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": 62.7
            },
            {
              "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": 62.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 108.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 110.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 108.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 114,
              "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": 114,
              "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": 114,
              "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": 114,
              "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": 114,
              "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": 114,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 35.34
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 111.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 108.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 96.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 96.9
            }
          ]
        }
      ]
    },
    {
      "description": "Single Lead Pns Endura Sprint Kit",
      "code_information": [
        {
          "code": "PX-27800273",
          "type": "CDM"
        },
        {
          "code": "C1778",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 15693,
          "discounted_cash": 10200.45,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14971.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14971.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14986.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15693,
              "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": 96,
              "estimated_amount": 15065.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15347.75
            },
            {
              "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": 8631.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8631.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14908.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13339.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15065.28
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13339.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8631.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8631.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14908.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5335.62
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4864.83,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15065.28
            },
            {
              "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": 15693,
              "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": 95.4,
              "estimated_amount": 14971.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14971.12
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4864.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 15693
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15347.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14908.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4864.83
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15065.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4864.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14971.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14986.82
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4864.83
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4864.83
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 15693,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15143.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15693,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4864.83
            },
            {
              "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": 13809.84
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14908.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15143.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14986.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14986.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14908.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5335.62
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5335.62
            },
            {
              "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": 15693,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14971.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15143.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15693,
              "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": 15693,
              "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": 15693,
              "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": 15693,
              "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": 15693,
              "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": 13339.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15347.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8631.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8631.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14908.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14908.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13339.05
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15065.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14971.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15693,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4864.83
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 15693,
              "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": 15693,
              "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": 15693,
              "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": 95,
              "estimated_amount": 14908.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14908.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5335.62
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5335.62
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14908.35
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4864.83,
              "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": 13339.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15143.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15143.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14986.82
            },
            {
              "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": 15693,
              "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": 95,
              "estimated_amount": 14908.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14986.82
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14908.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14971.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14971.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14971.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15143.75
            },
            {
              "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": 15693,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4864.83,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14908.35
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14908.35
            },
            {
              "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": 95.4,
              "estimated_amount": 14971.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14971.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14971.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14986.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15693,
              "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": 15693,
              "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": 13339.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15347.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4864.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14971.12
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4864.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15693,
              "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": 10200.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15693,
              "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": 95.4,
              "estimated_amount": 14971.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14971.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15143.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14986.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14986.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15693,
              "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": 15693,
              "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": 67.4,
              "estimated_amount": 10577.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15065.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8631.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4864.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14971.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14971.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14986.82
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 15693,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15065.28
            }
          ]
        }
      ]
    },
    {
      "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": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23831.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23831.87
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7744.11
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23731.95
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23731.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24981,
              "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": 24981,
              "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": 97.8,
              "estimated_amount": 24431.42
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13739.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23731.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23731.95
            },
            {
              "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": "MOLINA 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": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23831.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23856.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23831.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23831.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23856.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23856.86
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13739.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23731.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7744.11
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7744.11
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8493.54
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8493.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23831.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23831.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24106.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24981,
              "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": 13739.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23731.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23856.86
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 23981.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23831.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23831.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24106.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23856.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23856.86
            },
            {
              "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": 24981,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7744.11
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23731.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23731.95
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 7744.11,
              "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": 16237.65
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8493.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23856.86
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7744.11
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 16837.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 23981.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8493.54
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23831.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24106.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24981,
              "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": 24981,
              "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": 24981,
              "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": 95.4,
              "estimated_amount": 23831.87
            },
            {
              "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": 24981,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23731.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23731.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23731.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8493.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23731.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 23981.76
            },
            {
              "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": 24981,
              "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": 24981
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 24431.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23731.95
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 23981.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24106.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23856.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24981,
              "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": 95,
              "estimated_amount": 23731.95
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24106.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23856.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24981,
              "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": 21233.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23831.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 24431.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 24431.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24106.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24981,
              "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": 24981,
              "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": 24981,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 23981.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7744.11
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7744.11
            },
            {
              "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": 24981,
              "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": 95.4,
              "estimated_amount": 23831.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23856.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24981,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7744.11
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 23981.76
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 7744.11,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7744.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23831.87
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7744.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24981,
              "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": 96,
              "estimated_amount": 23981.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24981,
              "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": 24981,
              "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": 24981,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23831.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23831.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23831.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24981,
              "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": 21983.28
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 7744.11,
              "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": 21233.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23831.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24106.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24981,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "Cath Intermittent Male 12 Fr Straight Lf",
      "code_information": [
        {
          "code": "PX-CH57BUC12M",
          "type": "CDM"
        },
        {
          "code": "A4351",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.79,
          "discounted_cash": 0.51,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.75
            },
            {
              "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": 95.4,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.79,
              "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": 0.43
            },
            {
              "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": 0.79,
              "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": 97.8,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.79,
              "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": 96.5,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 0.67
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.79,
              "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": 0.79,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.79,
              "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": 0.79,
              "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": 96,
              "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": 0.79,
              "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": 0.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.79,
              "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": 97.8,
              "estimated_amount": 0.77
            },
            {
              "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": 0.43
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.79,
              "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": 96,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.79,
              "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": 0.79,
              "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": 95,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 0.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 0.79,
              "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": 0.79,
              "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": 0.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 0.67
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 96.5,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 97.8,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.79,
              "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": 0.79,
              "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": 95,
              "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": 95.4,
              "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": 0.79,
              "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": 0.79,
              "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": 0.79,
              "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": 95.4,
              "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": 95.5,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.24
            }
          ]
        }
      ]
    },
    {
      "description": "Excision Benign Lesion Including Margins Diameter 2.1 to 3.0 Cm",
      "code_information": [
        {
          "code": "PX-36101075",
          "type": "CDM"
        },
        {
          "code": "11403",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1288,
          "discounted_cash": 837.2,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1228.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1228.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1228.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1228.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1230.04
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 399.28
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1223.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1228.75
            },
            {
              "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": 95.4,
              "estimated_amount": 1228.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1094.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1236.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 708.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 708.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1236.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1228.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1228.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1228.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1242.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1242.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1236.48
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1236.48
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1223.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1228.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1230.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1236.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1288,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1223.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 399.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 399.28
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1094.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 399.28
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 437.92
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1223.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 399.28
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1236.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1223.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 437.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1242.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1242.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1288,
              "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": 1288,
              "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": 708.4
            },
            {
              "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": 837.2
            },
            {
              "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": 708.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 708.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1223.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1094.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1228.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1230.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1230.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1288,
              "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": 1288,
              "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": 1288,
              "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": 97.8,
              "estimated_amount": 1259.66
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 399.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1228.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1230.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1288,
              "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": 1288,
              "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": 1288,
              "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": 95.4,
              "estimated_amount": 1228.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1242.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1230.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1230.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1288,
              "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": 1288,
              "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": 95,
              "estimated_amount": 1223.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1259.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 708.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 708.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 437.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1228.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1288,
              "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": 96,
              "estimated_amount": 1236.48
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 399.28
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1223.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1259.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1223.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1223.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1228.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1288,
              "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": 1288,
              "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": 1133.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1230.04
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 399.28
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 868.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1223.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1242.92
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1094.8
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 437.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1259.66
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1223.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1242.92
            },
            {
              "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": 1288,
              "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": 1288,
              "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": 1288,
              "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": 1288,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 399.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1228.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1230.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1230.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1223.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 399.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1228.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1228.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1094.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1223.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 437.92
            }
          ]
        }
      ]
    },
    {
      "description": "Hydrogel Wound Drsg Curafill 3 Oz Gel",
      "code_information": [
        {
          "code": "PX-CHKN9252",
          "type": "CDM"
        },
        {
          "code": "A6261",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6.08,
          "discounted_cash": 3.95,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.87
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.88,
              "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": 5.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.78
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.17
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.81
            },
            {
              "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": 6.08,
              "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": 96,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 5.78
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.78
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 6.08,
              "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": 6.08,
              "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": 6.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.78
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.78
            },
            {
              "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": 6.08,
              "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": 96,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.78
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.17
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.08,
              "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": 95,
              "estimated_amount": 5.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.78
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.08,
              "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": 95,
              "estimated_amount": 5.78
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.88,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.88,
              "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": 3.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.78
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.08,
              "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": 6.08,
              "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": 6.08,
              "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": 6.08,
              "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": 97.8,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.08,
              "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": 6.08,
              "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": 6.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 6.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.08,
              "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": 6.08,
              "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": 96,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6.08,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6.08,
              "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": 3.34
            },
            {
              "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": 3.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 5.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.78
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 96,
              "estimated_amount": 5.84
            },
            {
              "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": 95.4,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 5.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.78
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 6.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.07
            }
          ]
        }
      ]
    },
    {
      "description": "Coveralls Fluid-Resistant Large Bunny Cardinal",
      "code_information": [
        {
          "code": "PX-CH552200CV",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.21,
          "discounted_cash": 0.79,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.21,
              "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": 1.21,
              "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": 96,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.21,
              "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": 97.8,
              "estimated_amount": 1.18
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "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": 1.21,
              "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": 1.21,
              "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": 95.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.21,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 0.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 97.8,
              "estimated_amount": 1.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 1.21,
              "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": 95,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 96,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "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": 1.21,
              "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": 97.8,
              "estimated_amount": 1.18
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.21,
              "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": 95,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.21,
              "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": 0.67
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.21,
              "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": 95,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.15
            },
            {
              "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": 1.21,
              "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": 95.5,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.21,
              "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": 96,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.15
            },
            {
              "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": 95.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 1.21,
              "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": 1.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.67
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.21,
              "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": 1.21,
              "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": 1.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.21,
              "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": 1.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 1.21,
              "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": 1.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.18
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.41
            }
          ]
        }
      ]
    },
    {
      "description": "Patient Transfer Device Z-Slider",
      "code_information": [
        {
          "code": "PX-CHA1SL2102",
          "type": "CDM"
        },
        {
          "code": "E0705",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.16,
          "discounted_cash": 3.35,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.93
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 95.4,
              "estimated_amount": 4.92
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.93
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.16,
              "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": 5.16,
              "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": 5.16,
              "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": 96,
              "estimated_amount": 4.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 2.84
            },
            {
              "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": 3.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.16,
              "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": 95.5,
              "estimated_amount": 4.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.16,
              "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": 5.16,
              "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": 95.4,
              "estimated_amount": 4.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.93
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.6
            },
            {
              "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": 2.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 4.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 4.93
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.16,
              "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": 5.16,
              "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": 5.16,
              "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": 96,
              "estimated_amount": 4.95
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.16,
              "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": 5.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.6
            },
            {
              "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": 95.4,
              "estimated_amount": 4.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.16,
              "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": 5.16,
              "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": 95,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.16,
              "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": 95,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.93
            },
            {
              "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": 5.16,
              "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": 96,
              "estimated_amount": 4.95
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 4.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.16,
              "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": 5.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95.4,
              "estimated_amount": 4.92
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.39
            }
          ]
        }
      ]
    },
    {
      "description": "\"Truvue Heel Protector Standard 13-18\"\" (33-45cm)\"",
      "code_information": [
        {
          "code": "PX-CHEHTRUVUESD060",
          "type": "CDM"
        },
        {
          "code": "E0191",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 108.51,
          "discounted_cash": 70.53,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 104.71
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.64
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 92.23
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 36.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 104.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 104.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 103.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108.51,
              "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": 108.51,
              "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": 108.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.64
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 104.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 59.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 59.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.64
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 36.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.08
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.08
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 103.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108.51,
              "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": 108.51,
              "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": 96,
              "estimated_amount": 104.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 103.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 103.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108.51,
              "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": 95,
              "estimated_amount": 103.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.64
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108.51,
              "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": 96,
              "estimated_amount": 104.17
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 104.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 104.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 103.63
            },
            {
              "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": 95.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108.51,
              "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": 95,
              "estimated_amount": 103.08
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.08
            },
            {
              "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": 59.68
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 104.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108.51,
              "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": 108.51,
              "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": 97.8,
              "estimated_amount": 106.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 106.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 59.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.08
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 92.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 103.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108.51,
              "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": 59.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.08
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 92.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.08
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 106.12
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 104.17
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 104.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 104.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 103.63
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 108.51,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 92.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 108.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 104.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 104.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 103.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 103.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 92.23
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 36.89
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 36.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 103.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108.51,
              "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": 108.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 106.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 59.68
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 59.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 103.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108.51,
              "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": 95.4,
              "estimated_amount": 103.52
            },
            {
              "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": 108.51,
              "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": 108.51,
              "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": 95,
              "estimated_amount": 103.08
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 103.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.64
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 36.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Epifix 2x4 per Sq Cm",
      "code_information": [
        {
          "code": "PX-63600018",
          "type": "CDM"
        },
        {
          "code": "Q4186",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 540,
          "discounted_cash": 351,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 515.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 515.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 515.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 540,
              "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": 540,
              "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": 540,
              "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": 540,
              "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": 97.8,
              "estimated_amount": 528.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 297
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 513
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 167.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 167.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 515.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 515.7
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 167.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 518.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 540
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 513
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 183.6
            },
            {
              "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": 540,
              "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": 540,
              "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": 95.4,
              "estimated_amount": 515.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 540,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 521.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 515.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 540,
              "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": 540,
              "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": 540,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 518.4
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 513
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 297
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 167.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 167.4,
              "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": 459
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 459
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 515.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 528.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 297
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 183.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 513
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 459
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 515.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 515.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 515.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 515.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 521.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 521.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 515.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 513
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 167.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 528.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 513
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 167.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 515.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 521.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 521.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 515.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 540,
              "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": 540,
              "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": 96,
              "estimated_amount": 518.4
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 513
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 459
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 528.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 297
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 515.16
            },
            {
              "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": 475.2
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 459
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 513
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 540,
              "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": 540,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 167.4
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 167.4,
              "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": 95,
              "estimated_amount": 513
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 297
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 513
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 518.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 297
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 518.4
            },
            {
              "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": 95.4,
              "estimated_amount": 515.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 515.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 515.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 540,
              "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": 67.4,
              "estimated_amount": 363.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 513
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 183.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 183.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 518.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 515.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 515.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 515.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 540,
              "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": 540,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 167.4
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 167.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 515.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 515.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 540,
              "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": 95,
              "estimated_amount": 513
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 513
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 167.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 167.4
            },
            {
              "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": 351
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 540,
              "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": 297
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 515.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 515.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 540,
              "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": 96.5,
              "estimated_amount": 521.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 521.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 513
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 183.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 515.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 515.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 540,
              "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": 96,
              "estimated_amount": 518.4
            },
            {
              "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": 540,
              "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": 459
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 540,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HH Acvna Ers Rental",
      "code_information": [
        {
          "code": "PX-57100104",
          "type": "CDM"
        },
        {
          "code": "G0156",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 36,
          "discounted_cash": 23.4,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 34.56
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 36,
              "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": 95,
              "estimated_amount": 34.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.2
            },
            {
              "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": 19.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.16
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.16,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 34.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 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": 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": 95,
              "estimated_amount": 34.2
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.2
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 34.56
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.34
            },
            {
              "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": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36,
              "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": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36,
              "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,
              "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": 96,
              "estimated_amount": 34.56
            },
            {
              "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": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 35.21
            },
            {
              "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 GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 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": 97.8,
              "estimated_amount": 35.21
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.24
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.2
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36,
              "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": 95,
              "estimated_amount": 34.2
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.38
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.16,
              "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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.2
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.16
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.16,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 35.21
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 36,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 34.56
            },
            {
              "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": 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": 30.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 35.21
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.16
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 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": 96,
              "estimated_amount": 34.56
            },
            {
              "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,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.34
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 34.56
            },
            {
              "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": 31.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.8
            }
          ]
        }
      ]
    },
    {
      "description": "Pth Fnab Needle Wash\ufffdSendout",
      "code_information": [
        {
          "code": "PX-30101114",
          "type": "CDM"
        },
        {
          "code": "83970",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 309,
          "discounted_cash": 200.85,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 294.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 294.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 294.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 208.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 309
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 293.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 294.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 298.19
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 95.79
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "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": 309,
              "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": 169.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 293.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 105.06
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 262.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 293.55
            },
            {
              "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": 309,
              "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": 95.4,
              "estimated_amount": 294.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 298.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 262.65
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 309,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 293.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 302.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 293.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 169.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 169.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 262.65
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 105.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 294.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 293.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 105.06
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 95.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 294.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 294.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 294.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 294.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 298.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 298.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 95.79,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 293.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 294.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 302.2
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 95.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 169.95
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 95.79,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 294.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 169.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 293.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 95.79
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 95.79
            },
            {
              "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": 200.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 294.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 294.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 294.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "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": 309,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 302.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 95.79
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 294.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "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": 271.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 298.19
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 293.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 262.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 293.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 293.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 169.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 293.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 105.06
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 95.79,
              "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": 95.4,
              "estimated_amount": 294.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 298.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "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": 309,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 95.79
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 262.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 298.19
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 95.79
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 293.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 302.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 262.65
            },
            {
              "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": 309,
              "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": 95.4,
              "estimated_amount": 294.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 296.64
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 95.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 293.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 95.79
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 105.06
            }
          ]
        }
      ]
    },
    {
      "description": "HC Athrodesis Sacroiliac Joint W Img Guidance",
      "code_information": [
        {
          "code": "PX-36100784",
          "type": "CDM"
        },
        {
          "code": "27279",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 26587,
          "discounted_cash": 17281.55,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25364
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25364
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26587,
              "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": 26587,
              "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": 26587,
              "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": 67.4,
              "estimated_amount": 17919.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 25523.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25364
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26587,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8241.97
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 25257.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 26002.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 25257.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 26002.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 25257.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 25523.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25364
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25364
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25364
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 25390.59
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 25257.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25364
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 25656.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 25390.59
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 22598.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 26002.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14622.85
            },
            {
              "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": 17281.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 26002.09
            },
            {
              "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": 14622.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 25257.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8241.97
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 9039.58
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8241.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26587,
              "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": 95,
              "estimated_amount": 25257.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8241.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26587,
              "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": 26587,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8241.97
            },
            {
              "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": 23396.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25364
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25364
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 25656.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 25390.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14622.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 25257.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 25257.65
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 9039.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25364
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 25656.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26587,
              "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": 26587,
              "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": 96,
              "estimated_amount": 25523.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26587,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14622.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14622.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 25257.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8241.97
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 22598.95
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8241.97
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 9039.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25364
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 25656.46
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8241.97
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 22598.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25364
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 25656.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 25390.59
            },
            {
              "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": 26587,
              "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": 14622.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 25257.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 25257.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 25656.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26587,
              "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": 95,
              "estimated_amount": 25257.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 25390.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26587,
              "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": 26587,
              "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": 95.4,
              "estimated_amount": 25364
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 25390.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 25390.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26587,
              "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": 95,
              "estimated_amount": 25257.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8241.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 25390.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26587,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 9039.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 22598.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25364
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25364
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25364
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25364
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 25656.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 25390.59
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8241.97
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 25523.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 25390.59
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 25523.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14622.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 9039.58
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 25523.52
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 25523.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25364
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26587,
              "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": 26587,
              "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": 95,
              "estimated_amount": 25257.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 22598.95
            }
          ]
        }
      ]
    },
    {
      "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": 353,
          "discounted_cash": 229.45,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 336.76
            },
            {
              "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": 95.4,
              "estimated_amount": 336.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 109.43
            },
            {
              "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": 353,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 300.05
            },
            {
              "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": 353,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 336.76
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 109.43
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "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": 353,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 335.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 194.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 194.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 335.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 335.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "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": 353,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 109.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 336.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 336.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 336.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 336.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 340.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 340.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 109.43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 345.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 194.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 335.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 300.05
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 109.43,
              "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": 97.8,
              "estimated_amount": 345.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 109.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 340.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 300.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 353
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 109.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 336.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 340.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 353,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 109.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 194.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 109.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 335.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 120.02
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 109.43
            },
            {
              "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": 353,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 336.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 109.43,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 336.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 336.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 336.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 336.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 237.92
            },
            {
              "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": 310.64
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 335.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 335.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 194.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 335.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 345.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 335.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 120.02
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 300.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 300.05
            },
            {
              "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": 229.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 336.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 336.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 336.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 336.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 345.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 336.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 340.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 340.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 335.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 335.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 120.02
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 300.05
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 120.02
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 335.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 340.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 338.88
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 335.35
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 109.43,
              "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": 194.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 194.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 335.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 109.43
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 120.02
            }
          ]
        }
      ]
    },
    {
      "description": "HC Amphetamines 5 or More So",
      "code_information": [
        {
          "code": "PX-30101117",
          "type": "CDM"
        },
        {
          "code": "80326",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 402,
          "discounted_cash": 261.3,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 383.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 383.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 383.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 385.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 385.92
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 381.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 221.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 381.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 381.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 385.92
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 385.92
            },
            {
              "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": 95.4,
              "estimated_amount": 383.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 383.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 385.92
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 341.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 381.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 402
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 393.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 381.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 381.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 124.62
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 124.62,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 124.62
            },
            {
              "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": 261.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 383.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 385.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 385.92
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 136.68
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 341.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 383.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 383.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 385.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 385.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 385.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 381.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 136.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 383.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 383.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 387.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 387.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 385.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 383.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 385.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 385.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 385.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 381.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 221.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 381.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 341.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 387.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 385.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 385.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 385.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 221.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 341.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 124.62,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 136.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 383.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 387.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 385.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 385.92
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 124.62
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 385.92
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 341.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 383.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 385.92
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 124.62
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 124.62
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 381.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 124.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 393.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 221.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 385.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 383.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 385.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 385.92
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 124.62,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 124.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 383.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 383.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 387.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 383.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 385.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 385.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 385.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 385.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 385.92
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 136.68
            },
            {
              "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": 353.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 393.16
            },
            {
              "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": 221.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 136.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 221.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 124.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 387.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 385.92
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 381.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 385.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 385.92
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 124.62
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 381.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 381.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 124.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 383.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 387.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 385.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 393.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 221.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 381.9
            }
          ]
        }
      ]
    },
    {
      "description": "Mopath Procedure Level 3 Sendout",
      "code_information": [
        {
          "code": "PX-30101121",
          "type": "CDM"
        },
        {
          "code": "81402",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2625,
          "discounted_cash": 1706.25,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2506.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2506.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2506.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2506.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 563.74,
              "estimated_amount": 563.74
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 563.74,
              "estimated_amount": 563.74
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2493.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1443.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1443.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 813.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 813.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "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": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2506.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 563.74,
              "estimated_amount": 563.74
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 813.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 813.75
            },
            {
              "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": 1443.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1443.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 563.74,
              "estimated_amount": 563.74
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2231.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2567.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 892.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 892.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2533.13
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 813.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2533.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 563.74,
              "estimated_amount": 563.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1443.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1443.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2493.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2493.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2625
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2493.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 813.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 813.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2533.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2533.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 563.74,
              "estimated_amount": 563.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 563.74,
              "estimated_amount": 563.74
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2493.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2506.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 563.74,
              "estimated_amount": 563.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2567.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1443.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 813.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2493.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2493.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 563.74,
              "estimated_amount": 563.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2567.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2493.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 892.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2493.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2231.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2533.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2506.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2310
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2567.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 563.74,
              "estimated_amount": 563.74
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2493.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2231.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2493.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2231.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2533.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2506.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 563.74,
              "estimated_amount": 563.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 563.74,
              "estimated_amount": 563.74
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 813.75
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2493.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 892.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2231.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 892.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2493.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2533.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 563.74,
              "estimated_amount": 563.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 563.74,
              "estimated_amount": 563.74
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 813.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2506.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 563.74,
              "estimated_amount": 563.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 563.74,
              "estimated_amount": 563.74
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 1769.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2506.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 563.74,
              "estimated_amount": 563.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2493.75
            },
            {
              "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": 1706.25
            }
          ],
          "minimum": 563.74,
          "maximum": 563.74
        }
      ]
    },
    {
      "description": "HC Mopath Procedure Level 6 So",
      "code_information": [
        {
          "code": "PX-30101122",
          "type": "CDM"
        },
        {
          "code": "81405",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2625,
          "discounted_cash": 1706.25,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2625
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2231.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 813.75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1443.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2493.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2231.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2231.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 813.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1443.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2493.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2533.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2493.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2493.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 301.35,
              "estimated_amount": 301.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 892.5
            },
            {
              "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": 1443.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1443.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 892.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 892.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2567.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2493.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 813.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2533.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 813.75
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2493.75
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2493.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2310
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2231.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2493.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 813.75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 813.75
            },
            {
              "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": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2533.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2493.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 892.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2533.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2533.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 813.75
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2493.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2493.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 813.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 813.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2231.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2493.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 813.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2533.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2567.25
            },
            {
              "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": 1706.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 892.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 813.75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2567.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1443.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1443.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2493.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2504.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2533.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2520
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2567.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1443.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 813.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 813.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2493.75
            }
          ],
          "minimum": 301.35,
          "maximum": 301.35
        }
      ]
    },
    {
      "description": "Sbsq Hospital IP/Obs Care Mod Mdm 35 Minutes",
      "code_information": [
        {
          "code": "PX-99232",
          "type": "CDM"
        },
        {
          "code": "99232",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 301.4,
          "discounted_cash": 195.91,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 287.54
            },
            {
              "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": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 287.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301.4,
              "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": 301.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 256.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 165.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 286.33
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 102.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 290.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 286.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 294.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 165.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 286.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 286.33
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 102.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 102.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 287.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301.4,
              "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": 301.4,
              "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": 301.4,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 287.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 287.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301.4,
              "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": 301.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 165.77
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.43
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 256.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 290.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301.4,
              "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": 301.4,
              "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": 95,
              "estimated_amount": 286.33
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 289.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 286.33
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 256.19
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.43
            },
            {
              "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": 195.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 290.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 290.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 287.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301.4,
              "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": 96,
              "estimated_amount": 289.34
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.43,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 294.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 286.33
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 286.33
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.43,
              "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": 301.4,
              "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": 301.4,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.43
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 289.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 165.77
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 286.33
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 286.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 290.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 290.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301.4,
              "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": 301.4,
              "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": 165.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 165.77
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.43
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 289.34
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 289.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.43
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 286.33
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 102.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301.4,
              "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": 96,
              "estimated_amount": 289.34
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 286.33
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.43,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 102.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 287.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 287.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301.4,
              "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": 95,
              "estimated_amount": 286.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 294.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 287.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301.4,
              "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": 301.4,
              "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": 256.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 290.85
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.43
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 165.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 287.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301.4,
              "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": 301.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 287.84
            },
            {
              "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": 265.23
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 256.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 294.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 286.33
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 289.34
            }
          ]
        }
      ]
    },
    {
      "description": "Hospital IP/Obs Discharge Day Mgmt > 30 Min",
      "code_information": [
        {
          "code": "PX-99239",
          "type": "CDM"
        },
        {
          "code": "99239",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 301.4,
          "discounted_cash": 195.91,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 290.85
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.43,
              "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": 301.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 289.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 287.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301.4,
              "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": 265.23
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 286.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 286.33
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 102.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 289.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 165.77
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 289.34
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 256.19
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 102.48
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 102.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 290.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 287.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 287.84
            },
            {
              "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": 301.4,
              "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": 301.4,
              "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": 165.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 287.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 290.85
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.43
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 286.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 165.77
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.43
            },
            {
              "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": 165.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 286.33
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 286.33
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.43,
              "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": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301.4,
              "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": 301.4,
              "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": 301.4,
              "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": 301.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 289.34
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 256.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 165.77
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.43
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.43,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 287.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301.4,
              "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": 301.4,
              "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": 301.4,
              "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": 95.5,
              "estimated_amount": 287.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 289.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 286.33
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.43
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 289.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 165.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 286.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 290.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301.4,
              "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": 95,
              "estimated_amount": 286.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 294.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 294.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 286.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 287.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301.4,
              "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": 301.4,
              "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": 95.5,
              "estimated_amount": 287.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 287.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301.4,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 286.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 286.33
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.43
            },
            {
              "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": 195.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 290.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301.4,
              "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": 97.8,
              "estimated_amount": 294.77
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 256.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 294.77
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 286.33
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 256.19
            },
            {
              "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": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301.4,
              "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": 301.4,
              "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": 301.4,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.43
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 93.43
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 286.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 290.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 287.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301.4,
              "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": 96,
              "estimated_amount": 289.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 165.77
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 102.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 287.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 290.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 256.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 286.33
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 102.48
            }
          ]
        }
      ]
    },
    {
      "description": "HC Injection for Dx Cholangiogram W Img New Access",
      "code_information": [
        {
          "code": "PX-36100789",
          "type": "CDM"
        },
        {
          "code": "47532",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 16972,
          "discounted_cash": 11031.8,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16191.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16191.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16191.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16191.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16377.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16208.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16123.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16191.29
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 16293.12
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 16293.12
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14426.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16123.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16123.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14426.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9334.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16123.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14426.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 16293.12
            },
            {
              "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": 11031.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16191.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16208.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16972,
              "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": 16972,
              "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": 16972,
              "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": 95,
              "estimated_amount": 16123.4
            },
            {
              "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": 95.4,
              "estimated_amount": 16191.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16377.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16208.26
            },
            {
              "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": 14935.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16123.4
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5770.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5770.48
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 16293.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16208.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16972,
              "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": 16972,
              "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": 96,
              "estimated_amount": 16293.12
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5261.32
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5770.48
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 16293.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16191.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16972,
              "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": 95.4,
              "estimated_amount": 16191.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16972,
              "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": 16972,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5261.32
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5261.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16972,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5261.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9334.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5770.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16377.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16377.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 16598.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 16598.62
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16123.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16191.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16191.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16377.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16208.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16208.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 16598.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9334.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9334.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5770.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16191.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16191.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16208.26
            },
            {
              "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": 16972,
              "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": 16972,
              "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": 95,
              "estimated_amount": 16123.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16123.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16377.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16377.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16208.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16972,
              "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": 16972,
              "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": 95.4,
              "estimated_amount": 16191.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16972,
              "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": 16972,
              "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": 95,
              "estimated_amount": 16123.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14426.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16208.26
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5261.32
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 16293.12
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14426.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 16598.62
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5261.32
            },
            {
              "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": 9334.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16123.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5261.32
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5261.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 16208.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16972,
              "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": 95,
              "estimated_amount": 16123.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16191.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16191.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16191.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16972,
              "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": 95,
              "estimated_amount": 16123.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9334.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9334.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 16191.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16972,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5261.32
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 11439.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 16123.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5261.32
            }
          ]
        }
      ]
    },
    {
      "description": "HC Convert Nephrostomy Cath to Nephroureteral Cath W Img Exist Tract",
      "code_information": [
        {
          "code": "PX-36100806",
          "type": "CDM"
        },
        {
          "code": "50434",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 15683,
          "discounted_cash": 10193.95,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14961.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14961.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14961.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15683,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4861.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15337.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 8873
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14961.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14961.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14977.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14977.27
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4861.73
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4861.73
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14898.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4861.73
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13330.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14961.58
            },
            {
              "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": 15683,
              "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": 15683,
              "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": 15683,
              "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": 95.4,
              "estimated_amount": 14961.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14977.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15683,
              "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": 15683,
              "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": 8625.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4861.73
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13330.55
            },
            {
              "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": 10193.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15337.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8625.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5332.22
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5332.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14961.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15134.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14977.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15683,
              "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": 67.4,
              "estimated_amount": 10570.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8625.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14898.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13330.55
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4861.73,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4861.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14961.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14961.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15683,
              "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": 15683,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13330.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14961.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14961.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15683,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4861.73
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4861.73,
              "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": 95,
              "estimated_amount": 14898.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14961.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15683,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4861.73,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14898.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15683,
              "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": 95,
              "estimated_amount": 14898.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15134.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14977.27
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4861.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14898.85
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4861.73
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15055.68
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15055.68
            },
            {
              "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": 15683,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15337.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8625.65
            },
            {
              "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": 8625.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15683,
              "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": 96,
              "estimated_amount": 15055.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14898.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14898.85
            },
            {
              "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": 15683,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14961.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14961.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14961.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15683,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15134.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15134.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14977.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14977.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15683,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4861.73
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13330.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14898.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5332.22
            },
            {
              "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": 15683,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15134.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15134.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14977.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14977.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15683,
              "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": 15683,
              "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": 15683,
              "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": 95,
              "estimated_amount": 14898.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14898.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5332.22
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5332.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15337.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8625.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14898.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14961.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15134.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14977.27
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15055.68
            },
            {
              "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": 13801.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15683,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15055.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14898.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14961.58
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15055.68
            },
            {
              "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": 15683,
              "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": 95,
              "estimated_amount": 14898.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8625.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13330.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15055.68
            }
          ]
        }
      ]
    },
    {
      "description": "HC Ureteral Embolization or Occlusion W Img Add On",
      "code_information": [
        {
          "code": "PX-36100812",
          "type": "CDM"
        },
        {
          "code": "50705",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1103,
          "discounted_cash": 716.95,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1052.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1052.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1052.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1052.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1103,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 341.93
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1047.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1047.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1047.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1047.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1047.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 375.02
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 375.02
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1058.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1053.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1103,
              "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": 1103,
              "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": 1103,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 341.93
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 341.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1052.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1103,
              "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": 970.64
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1047.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1052.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1053.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1103,
              "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": 1103,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1058.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1078.73
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1058.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1078.73
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1058.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1053.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1053.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1103,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 375.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1052.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1053.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1052.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1103,
              "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": 95,
              "estimated_amount": 1047.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1047.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1047.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1047.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 341.93
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 375.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1052.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1064.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1053.37
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 341.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1078.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1103,
              "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": 606.65
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 341.93
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 341.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1052.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1052.26
            },
            {
              "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": 95.4,
              "estimated_amount": 1052.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1064.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1064.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1053.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1064.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1064.4
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 743.42
            },
            {
              "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1047.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1047.85
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 341.93
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 341.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1052.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1052.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1064.4
            },
            {
              "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 MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 375.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1064.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1052.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1053.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1103,
              "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": 95,
              "estimated_amount": 1047.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1103,
              "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": 1103,
              "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": 1103,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 341.93
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1058.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1078.73
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 606.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1052.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1053.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1103,
              "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": 1103,
              "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": 95.4,
              "estimated_amount": 1052.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1052.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1103,
              "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": 96,
              "estimated_amount": 1058.88
            },
            {
              "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": 606.65
            },
            {
              "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": 716.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1053.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1103,
              "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": 96,
              "estimated_amount": 1058.88
            },
            {
              "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": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1047.85
            }
          ]
        }
      ]
    },
    {
      "description": "HC Paravertebral Block Thoracic W Img Single Injection",
      "code_information": [
        {
          "code": "PX-36100816",
          "type": "CDM"
        },
        {
          "code": "64461",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3055,
          "discounted_cash": 1985.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2914.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2914.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2914.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2948.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2932.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2902.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2914.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2917.53
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2596.75
            },
            {
              "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": 1680.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2902.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1038.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2902.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2596.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1680.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2948.08
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 947.05
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2902.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2914.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2917.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2917.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3055,
              "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": 3055,
              "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": 2596.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 947.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1038.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 947.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2914.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2914.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2917.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3055,
              "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": 3055,
              "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": 3055,
              "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": 95,
              "estimated_amount": 2902.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2596.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1038.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2948.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3055,
              "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": 3055,
              "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": 95,
              "estimated_amount": 2902.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2987.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2902.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1680.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1680.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1680.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 947.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2902.25
            },
            {
              "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": 95.4,
              "estimated_amount": 2914.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2914.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2914.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2917.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2914.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2914.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2917.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2917.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3055,
              "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": 3055,
              "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": 96.5,
              "estimated_amount": 2948.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2917.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3055,
              "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": 67.4,
              "estimated_amount": 2059.07
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2932.8
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2932.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2987.79
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 947.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2914.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2914.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3055,
              "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": 95,
              "estimated_amount": 2902.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2902.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2902.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 947.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2914.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2914.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3055,
              "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": 3055,
              "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": 95,
              "estimated_amount": 2902.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2948.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2948.08
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 947.05
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 947.05
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 947.05
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2932.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3055,
              "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": 1680.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1680.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2987.79
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 947.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1038.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2596.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2914.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2917.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3055,
              "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": 3055,
              "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": 96,
              "estimated_amount": 2932.8
            },
            {
              "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": 2688.4
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2902.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2917.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3055,
              "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": 3055,
              "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": 95,
              "estimated_amount": 2902.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2987.79
            },
            {
              "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": 1985.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2932.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2914.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2948.08
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1038.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2932.8
            }
          ]
        }
      ]
    },
    {
      "description": "HC Paravertebral Block Thoracic W Img Addl Injection",
      "code_information": [
        {
          "code": "PX-36100817",
          "type": "CDM"
        },
        {
          "code": "64462",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3721,
          "discounted_cash": 2418.65,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3549.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3549.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3549.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3553.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3553.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3572.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3572.16
            },
            {
              "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": 2418.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3549.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3590.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3590.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3721,
              "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": 3721,
              "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": 2046.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3534.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1265.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3534.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1265.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3549.83
            },
            {
              "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": 95.4,
              "estimated_amount": 3549.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3549.83
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3162.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3549.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3553.56
            },
            {
              "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": 3721,
              "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": 97.8,
              "estimated_amount": 3639.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3639.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2046.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1153.51
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1265.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3553.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3553.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1153.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3639.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3549.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3549.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3590.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3590.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3553.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3553.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3721,
              "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": 3721,
              "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": 3721,
              "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": 3721,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1153.51
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3534.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3534.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3162.85
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1265.14
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3572.16
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3572.16
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1153.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3549.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3721,
              "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": 3721,
              "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": 95,
              "estimated_amount": 3534.95
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1153.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3721,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3572.16
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3162.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3553.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3553.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3721,
              "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": 3721,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1265.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3534.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3572.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3549.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3721,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1153.51
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 2507.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2046.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3534.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3534.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3549.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3549.83
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3534.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3534.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3549.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3549.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3549.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3590.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3590.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3721,
              "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": 95,
              "estimated_amount": 3534.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1153.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1153.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3590.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3553.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3572.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3639.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2046.55
            },
            {
              "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": 2046.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3534.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1153.51
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3162.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3721,
              "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": 3274.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3721,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1153.51
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3534.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2046.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2046.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3534.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3549.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3721,
              "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": 3721,
              "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": 3162.85
            }
          ]
        }
      ]
    },
    {
      "description": "\"Drsg Non Adh Kerramax 5\"\" X 6\"\" Lf\"",
      "code_information": [
        {
          "code": "PX-CH87PRD500100",
          "type": "CDM"
        },
        {
          "code": "A6197",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.85,
          "discounted_cash": 2.5,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.68
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.66
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.66
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.19,
              "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": 95,
              "estimated_amount": 3.66
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.19
            },
            {
              "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": 95.4,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.68
            },
            {
              "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": "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": "BUCKEYE COMMUNITY 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": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.77
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 3.27
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.68
            },
            {
              "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": "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": "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": "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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 3.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "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": 96.5,
              "estimated_amount": 3.72
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.68
            },
            {
              "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": 3.85,
              "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": 3.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3.85,
              "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": 2.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.66
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95.5,
              "estimated_amount": 3.68
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.66
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.66
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.85,
              "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": 3.85,
              "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": 96,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.19,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.68
            },
            {
              "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": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.66
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 3.66
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.68
            },
            {
              "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/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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.77
            },
            {
              "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 [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 MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.67
            },
            {
              "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": "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.66
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.19,
              "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": 2.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 3.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.27
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.68
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 2.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.19
            },
            {
              "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": 3.85,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "1 Pc Pre Cut Ext Wear Cvx 1 3-4 in Premier",
      "code_information": [
        {
          "code": "PX-CHHO8618",
          "type": "CDM"
        },
        {
          "code": "A4390",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.14,
          "discounted_cash": 0.74,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 1.09
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 1.09
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.1
            },
            {
              "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 MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "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": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 1.09
            },
            {
              "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": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 0.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.09
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.09
            },
            {
              "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": "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 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": "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": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "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": 97.8,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.08
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.39
            },
            {
              "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": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.09
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.1
            },
            {
              "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": "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": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.08
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 1.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.11
            },
            {
              "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 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/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": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.63
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "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": 1.14,
              "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": 0.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "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": 0.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.08
            }
          ]
        }
      ]
    },
    {
      "description": "Solosite Hydrogel Gel 3 Oz",
      "code_information": [
        {
          "code": "PX-CHUN449600",
          "type": "CDM"
        },
        {
          "code": "A6248",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8.14,
          "discounted_cash": 5.29,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.14,
              "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": 6.92
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "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": 4.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.73
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.77
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.92
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.52
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.77
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.77
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.14,
              "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": 67.4,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.14,
              "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": 8.14,
              "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": 96,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.73
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.14,
              "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": 95,
              "estimated_amount": 7.73
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.92
            },
            {
              "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": 95.4,
              "estimated_amount": 7.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.52
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.52
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.14,
              "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": 95,
              "estimated_amount": 7.73
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.96
            },
            {
              "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": 4.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.73
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.52
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.52
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.14,
              "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": 95.4,
              "estimated_amount": 7.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.96
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.52
            },
            {
              "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": 5.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.14,
              "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": 95,
              "estimated_amount": 7.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.14,
              "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": 8.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.77
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.73
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.14,
              "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": 8.14,
              "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": 95,
              "estimated_amount": 7.73
            },
            {
              "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 MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.96
            },
            {
              "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": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.52
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.86
            },
            {
              "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": 7.16
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.73
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.14,
              "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": 8.14,
              "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": 95,
              "estimated_amount": 7.73
            }
          ]
        }
      ]
    },
    {
      "description": "Antithrombin At3 Sendout",
      "code_information": [
        {
          "code": "PX-30500142",
          "type": "CDM"
        },
        {
          "code": "85300",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 146,
          "discounted_cash": 94.9,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 139.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 139.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 139.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 139.43
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 138.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 140.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 139.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 139.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 139.43
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 45.26,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 45.26
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 140.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 140.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.44,
              "estimated_amount": 44.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 139.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 140.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.44,
              "estimated_amount": 44.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.44,
              "estimated_amount": 44.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.44,
              "estimated_amount": 44.44
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 142.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 138.7
            },
            {
              "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": "MOLINA 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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 49.64
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 138.7
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 45.26,
              "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": 95.4,
              "estimated_amount": 139.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 139.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 139.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 139.43
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 45.26
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 140.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 142.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 138.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 45.26
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 138.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 139.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 139.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 140.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.44,
              "estimated_amount": 44.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 139.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 139.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.44,
              "estimated_amount": 44.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.44,
              "estimated_amount": 44.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.44,
              "estimated_amount": 44.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 140.16
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 45.26
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 49.64
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 140.16
            },
            {
              "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": 146,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 140.16
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 146
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 49.64
            },
            {
              "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": 94.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.44,
              "estimated_amount": 44.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 139.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 140.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 139.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.44,
              "estimated_amount": 44.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.44,
              "estimated_amount": 44.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.44,
              "estimated_amount": 44.44
            },
            {
              "payer_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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 138.7
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 45.26
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 45.26,
              "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": 80.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 80.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 139.28
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 45.26
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 138.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 142.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 138.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 140.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 139.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.44,
              "estimated_amount": 44.44
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 98.4
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 140.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 139.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 140.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 138.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 138.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 45.26
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 49.64
            },
            {
              "payer_name": "UHC 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 MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 139.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.44,
              "estimated_amount": 44.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.44,
              "estimated_amount": 44.44
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 45.26
            },
            {
              "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": 146,
              "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": 128.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 138.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 138.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 142.79
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 139.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 139.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 139.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 139.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.44,
              "estimated_amount": 44.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.44,
              "estimated_amount": 44.44
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 140.16
            },
            {
              "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": 95.4,
              "estimated_amount": 139.28
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 138.7
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 45.26
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 45.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 139.43
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 146,
              "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": 95,
              "estimated_amount": 138.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 49.64
            }
          ],
          "minimum": 44.44,
          "maximum": 44.44
        }
      ]
    },
    {
      "description": "Protein C Activity Sendout",
      "code_information": [
        {
          "code": "PX-30500143",
          "type": "CDM"
        },
        {
          "code": "85303",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 170,
          "discounted_cash": 110.5,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 162.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 162.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.7,
              "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": 170
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 162.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 161.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 166.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 161.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 144.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "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": 96,
              "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": 96,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 163.2
            },
            {
              "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": 170,
              "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": 95,
              "estimated_amount": 161.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 162.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 166.26
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 161.5
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 57.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 162.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 162.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 162.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 164.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 163.2
            },
            {
              "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": 93.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 162.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.7
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 161.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 162.18
            },
            {
              "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": 95.4,
              "estimated_amount": 162.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 162.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 162.18
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.7
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 166.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 161.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 161.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 164.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 170,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 162.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 164.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 164.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.7
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "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": 96,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 166.26
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 161.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 162.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 164.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 163.2
            },
            {
              "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 MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.7
            },
            {
              "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": 170,
              "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": 170,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 162.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 162.18
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 164.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 96,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 114.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 93.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 161.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 57.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 162.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 163.2
            },
            {
              "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": 170,
              "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": 149.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.7,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.7
            },
            {
              "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": 110.5
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 161.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 161.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.7,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 57.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 162.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 164.05
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 161.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 161.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 52.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 57.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 170,
              "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": 93.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 163.2
            }
          ]
        }
      ]
    },
    {
      "description": "Chloraprep Single Swabstick 1 3/4 Ml Lf",
      "code_information": [
        {
          "code": "PX-CH55260100",
          "type": "CDM"
        },
        {
          "code": "A4428",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.49,
          "discounted_cash": 0.97,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.42
            },
            {
              "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": 95.4,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.49,
              "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": 1.49,
              "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": 1.49,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.49,
              "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": 1.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 0.82
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 1.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.49,
              "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": 1.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46,
              "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": 96.5,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.49,
              "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": 1.49,
              "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": 96,
              "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": 1.49,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 1.49,
              "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": 1.49,
              "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": 1.49,
              "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": 97.8,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 1.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.49,
              "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": 95,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 1.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "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": 95,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 1.49,
              "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": 1.49,
              "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": 1.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.49,
              "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": 1.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.49,
              "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": 1.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 96,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.49,
              "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": 95,
              "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": 95,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.43
            }
          ]
        }
      ]
    },
    {
      "description": "Esteem Sterile Powder-Free Exam Gloves S (Pairs)",
      "code_information": [
        {
          "code": "PX-CH5588SNP02S",
          "type": "CDM"
        },
        {
          "code": "A4930",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.63,
          "discounted_cash": 0.41,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.63,
              "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": 95,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.63
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.35
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.63,
              "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": 0.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.63,
              "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": 0.63,
              "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": 0.63,
              "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": 97.8,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.63,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 0.6
            },
            {
              "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": 0.63,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.63,
              "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": 0.63,
              "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": 0.63,
              "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": 95.4,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.63,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.6
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.55
            },
            {
              "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": 0.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.63,
              "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": 96.5,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.63,
              "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": 0.63,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.6
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2,
              "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": 0.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.63,
              "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": 0.63,
              "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": 0.63,
              "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": 96,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.63,
              "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": 0.63,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.63,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "Male Urinary Pouch External Collection Device",
      "code_information": [
        {
          "code": "PX-CHHO9873",
          "type": "CDM"
        },
        {
          "code": "A4326",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.6,
          "discounted_cash": 2.34,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.44
            },
            {
              "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 1.98
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.43
            },
            {
              "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 3.44
            },
            {
              "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.42
            },
            {
              "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": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.44
            },
            {
              "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": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.46
            },
            {
              "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": 1.98
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.46
            },
            {
              "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": 95.4,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 3.6,
              "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": 95,
              "estimated_amount": 3.42
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 3.44
            },
            {
              "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": "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": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 3.06
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 3.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.46
            },
            {
              "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": 3.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.44
            },
            {
              "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": 3.6,
              "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": 95,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.47
            },
            {
              "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": "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": "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.12
            },
            {
              "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": 2.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 3.6,
              "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": 96,
              "estimated_amount": 3.46
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.6,
              "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": 3.6,
              "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": 3.6,
              "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": 67.4,
              "estimated_amount": 2.43
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.98
            }
          ]
        }
      ]
    },
    {
      "description": "Anti-Reflux Drainage Bag Economy 2000ml",
      "code_information": [
        {
          "code": "PX-CH686300",
          "type": "CDM"
        },
        {
          "code": "A4357",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.27,
          "discounted_cash": 3.43,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.01
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 5.27,
              "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": 5.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.63,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 5.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.01
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 97.8,
              "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": 2.9
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5.27
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 4.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.03
            },
            {
              "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": 5.27,
              "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": 5.27,
              "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": 95.4,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.27,
              "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": 95,
              "estimated_amount": 5.01
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 2.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 5.01
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.27,
              "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": 5.27,
              "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": 96,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.63,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.27,
              "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": 95.4,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.27,
              "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": 96,
              "estimated_amount": 5.06
            },
            {
              "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": 4.64
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.48
            },
            {
              "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": 5.27,
              "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": 4.48
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 5.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.27,
              "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": 2.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 5.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 5.27,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.15
            },
            {
              "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": 2.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.01
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.4,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 5.27,
              "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": 5.27,
              "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": 5.27,
              "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": 5.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.63,
              "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": 96,
              "estimated_amount": 5.06
            }
          ]
        }
      ]
    },
    {
      "description": "Barrier Wipe No-Sting",
      "code_information": [
        {
          "code": "PX-CHSNS80725",
          "type": "CDM"
        },
        {
          "code": "A5120",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.29,
          "discounted_cash": 0.19,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.09,
              "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": 97.8,
              "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": 0.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.29,
              "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": 0.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.29,
              "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": 96,
              "estimated_amount": 0.28
            },
            {
              "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": 0.29,
              "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": 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": 95,
              "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": 95,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.28
            },
            {
              "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": 95.4,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.29,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.09,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 0.16
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.1
            },
            {
              "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": 0.29,
              "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": 0.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.29,
              "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": 0.29,
              "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": 0.29,
              "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": 0.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.29,
              "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": 95.4,
              "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": 0.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.29,
              "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": 0.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.16
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.29,
              "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": 0.29,
              "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": 0.29,
              "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": 0.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.29,
              "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": 96,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.29,
              "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": 96,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.16
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.09,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 0.96,
          "discounted_cash": 0.62,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.96,
              "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": 96,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.3,
              "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": 0.53
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "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": 0.96,
              "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": 0.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.3,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 97.8,
              "estimated_amount": 0.94
            },
            {
              "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": 0.96,
              "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": 0.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.96,
              "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": 0.96,
              "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": 0.84
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.96,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.96,
              "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": 0.96,
              "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": 0.53
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.96,
              "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": 0.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.3,
              "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": 95.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.96,
              "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": 0.96,
              "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": 0.96,
              "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": 97.8,
              "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": 95,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.82
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 0.53
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.96,
              "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": 0.96,
              "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": 96,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 97.8,
              "estimated_amount": 0.94
            }
          ]
        }
      ]
    },
    {
      "description": "\"Drsg Non Bdr Superabsorb Zetuvit Plus 4\"\" X 8\"\"\"",
      "code_information": [
        {
          "code": "PX-CHEV413111",
          "type": "CDM"
        },
        {
          "code": "A6197",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.76,
          "discounted_cash": 3.09,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.55
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.5,
              "estimated_amount": 4.55
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.57
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.76,
              "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": 95,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.57
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.57
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.5,
              "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": 4.76,
              "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": 4.76,
              "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": 4.76,
              "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": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.76,
              "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": 95,
              "estimated_amount": 4.52
            },
            {
              "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 [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.54
            },
            {
              "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": "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": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48,
              "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": 2.62
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.55
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.66
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.66
            },
            {
              "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": "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": 4.76,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.55
            },
            {
              "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 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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.59
            },
            {
              "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/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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.76,
              "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": 95,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.57
            },
            {
              "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": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 4.52
            },
            {
              "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": 95.4,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.59
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.55
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.57
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 4.76,
              "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": 4.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.57
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.52
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "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": 97.8,
              "estimated_amount": 4.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.4,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.55
            },
            {
              "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": "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": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.52
            },
            {
              "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": "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.62
            },
            {
              "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": 2.62
            }
          ]
        }
      ]
    },
    {
      "description": "\"Elastic Bandage Velcro Matrix 4\"\" X 5 Yds\"",
      "code_information": [
        {
          "code": "PX-CH6005154LF",
          "type": "CDM"
        },
        {
          "code": "A6449",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.97,
          "discounted_cash": 3.23,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.97,
              "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": 4.97,
              "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": 97.8,
              "estimated_amount": 4.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 4.97
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 4.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.97,
              "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": 96,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.75
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.69
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.54,
              "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": 96,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.97,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.74
            },
            {
              "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": 95.4,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.97,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.77
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.97,
              "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": 2.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.97,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.97,
              "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": 4.97,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.86
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.97,
              "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": 95.4,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.97,
              "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": 4.97,
              "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": 96,
              "estimated_amount": 4.77
            },
            {
              "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": 4.37
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.97,
              "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": 4.97,
              "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": 96,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.22
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 4.22
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.97,
              "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": 97.8,
              "estimated_amount": 4.86
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.97,
              "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": 4.97,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.97,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.54,
              "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": 2.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.54,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.97,
              "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": 95,
              "estimated_amount": 4.72
            },
            {
              "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": 4.97,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "\"Silver Calcium Alginate Drsg Vitale Strong 4\"\" X 4\"\"\"",
      "code_information": [
        {
          "code": "PX-CHCEL20554",
          "type": "CDM"
        },
        {
          "code": "A6196",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 7.21,
          "discounted_cash": 4.69,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 96,
              "estimated_amount": 6.92
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.13
            },
            {
              "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": 3.97
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.13
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.24,
              "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": 96.5,
              "estimated_amount": 6.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.92
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.24,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.97
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.88
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 97.8,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.21,
              "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": 7.21,
              "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": 95,
              "estimated_amount": 6.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.88
            },
            {
              "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": 95.4,
              "estimated_amount": 6.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.21,
              "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": 7.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.24
            },
            {
              "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": 7.21,
              "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": 6.34
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.21,
              "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": 7.21,
              "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": 95,
              "estimated_amount": 6.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.21,
              "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": 96.5,
              "estimated_amount": 6.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.21,
              "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": 7.21,
              "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": 7.21,
              "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": 96,
              "estimated_amount": 6.92
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.24,
              "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": 3.97
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.21,
              "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": 7.21,
              "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": 7.21,
              "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": 3.97
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.13
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.21,
              "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": 95.4,
              "estimated_amount": 6.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 7.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.92
            },
            {
              "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": 7.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.21,
              "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": 7.21,
              "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": 95.4,
              "estimated_amount": 6.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 6.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95,
              "estimated_amount": 6.85
            }
          ]
        }
      ]
    },
    {
      "description": "\"2 Pc Urostomy Pouch 2-3-4' Flange 9\"\" L\"",
      "code_information": [
        {
          "code": "PX-CHHO18924",
          "type": "CDM"
        },
        {
          "code": "A4432",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.39,
          "discounted_cash": 0.25,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.38
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 96.5,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.12
            },
            {
              "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 HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.39,
              "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": 0.39,
              "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": 95.4,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.39,
              "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": 0.39,
              "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": 0.33
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.39,
              "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": 97.8,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95.4,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.37
            },
            {
              "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": 0.34
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.37
            },
            {
              "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": "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": "HUMANA [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": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.39,
              "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": 96,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.39,
              "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": 67.4,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.33
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 0.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.39,
              "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": 0.39,
              "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": 95,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.38
            },
            {
              "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": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.39,
              "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": 95,
              "estimated_amount": 0.37
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.39,
              "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": 95.4,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.39,
              "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": 0.39,
              "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": 0.39,
              "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": 95,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.37
            }
          ]
        }
      ]
    },
    {
      "description": "Heavy Metal Quantitative Not Elsewhere Specified Sendout",
      "code_information": [
        {
          "code": "PX-30101551",
          "type": "CDM"
        },
        {
          "code": "83018",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 178,
          "discounted_cash": 115.7,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 169.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 97.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 97.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 169.81
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 178
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 169.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 60.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 174.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 169.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 169.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 169.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 169.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 169.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 55.18,
              "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": 97.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 55.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 169.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 169.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 55.18
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 97.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 169.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 60.52
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 171.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 169.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 169.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 169.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 55.18
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 151.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 97.9
            },
            {
              "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": 97.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 55.18
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 151.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 151.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 169.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 169.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 60.52
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 60.52
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 55.18,
              "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": 95.4,
              "estimated_amount": 169.81
            },
            {
              "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": 95.4,
              "estimated_amount": 169.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 169.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 119.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 169.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 169.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 151.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 151.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 171.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 169.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 174.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 171.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 171.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 169.1
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 151.3
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 169.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 169.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 174.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 174.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 169.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 55.18
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 55.18,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 60.52
            },
            {
              "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": 115.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 169.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 171.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 55.18
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 55.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 169.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 169.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 55.18
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 55.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 169.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 169.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 171.77
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 169.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 171.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 55.18
            },
            {
              "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": 156.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 170.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 97.9
            }
          ]
        }
      ]
    },
    {
      "description": "Catheter Foley Set Suprapubic",
      "code_information": [
        {
          "code": "PX-CHBA143112",
          "type": "CDM"
        },
        {
          "code": "A4335",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 165.51,
          "discounted_cash": 107.58,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 157.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 157.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 165.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 158.89
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 157.23
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.31,
              "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": 95.4,
              "estimated_amount": 157.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 165.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 158.89
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 165.51,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 157.23
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 158.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 91.03
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 157.23
            },
            {
              "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": 165.51,
              "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": 95.4,
              "estimated_amount": 157.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 158.06
            },
            {
              "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": 165.51,
              "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": 165.51,
              "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": 145.65
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 157.23
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 140.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 157.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 157.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 165.51,
              "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": 165.51
            },
            {
              "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": 91.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 157.23
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 140.68
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.31,
              "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": 95,
              "estimated_amount": 157.23
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 158.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 165.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 158.89
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 159.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 158.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 165.51,
              "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": 165.51,
              "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": 95.4,
              "estimated_amount": 157.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 158.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 165.51,
              "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": 165.51,
              "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": 165.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.31
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 140.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 161.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 91.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 91.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 157.23
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 140.68
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 56.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 165.51,
              "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": 97.8,
              "estimated_amount": 161.87
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 157.23
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 158.89
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 158.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 159.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 159.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 165.51,
              "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": 165.51,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 157.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 159.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 158.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 158.06
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 157.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 157.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 56.27
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 56.27
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.31
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 140.68
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 56.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 159.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 161.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 91.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 91.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 157.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 161.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 158.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 158.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 158.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 165.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 158.89
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 157.9
            },
            {
              "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": 95.4,
              "estimated_amount": 157.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 159.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 158.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 165.51,
              "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": 165.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 51.31,
              "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": 95,
              "estimated_amount": 157.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 157.23
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 56.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 157.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 157.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 157.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 157.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 157.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 157.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 159.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 157.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 157.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 157.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 165.51,
              "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": 91.03
            }
          ]
        }
      ]
    },
    {
      "description": "\"Zetuvit Plus Nonborder Super Absorbant Drsng 8\"\" X 10\"\"\"",
      "code_information": [
        {
          "code": "PX-CHEV413113",
          "type": "CDM"
        },
        {
          "code": "A6198",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 10.01,
          "discounted_cash": 6.51,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.01,
              "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": 10.01,
              "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": 95,
              "estimated_amount": 9.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.01,
              "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": 95,
              "estimated_amount": 9.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.51
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.01,
              "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": 10.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.61
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.01,
              "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": 10.01,
              "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": 8.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 10.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.01,
              "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": 10.01,
              "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": 95,
              "estimated_amount": 9.51
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.01,
              "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": 95.4,
              "estimated_amount": 9.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.01,
              "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": 5.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9.79
            },
            {
              "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": 5.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.01,
              "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": 10.01,
              "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": 10.01,
              "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": 8.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.61
            },
            {
              "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": 8.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.01,
              "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": 95,
              "estimated_amount": 9.51
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.4
            },
            {
              "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": 6.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.61
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 9.51
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.55
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "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": 95,
              "estimated_amount": 9.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9.79
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.55
            },
            {
              "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": 95.4,
              "estimated_amount": 9.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.56
            },
            {
              "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": 10.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.56
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.51
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 9.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.51
            }
          ]
        }
      ]
    },
    {
      "description": "\"Silver Calcium Alginate Drsg Sorbalgon 6\"\" X 6\"\" Lf\"",
      "code_information": [
        {
          "code": "PX-CHEV999610",
          "type": "CDM"
        },
        {
          "code": "A6197",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13.08,
          "discounted_cash": 8.5,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.08,
              "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": 95,
              "estimated_amount": 12.43
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.08,
              "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": 96,
              "estimated_amount": 12.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.56
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.05,
              "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": 95.4,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.08,
              "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": 7.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.12
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.43
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.12
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.08,
              "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": 95.4,
              "estimated_amount": 12.48
            },
            {
              "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": 13.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.56
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 13.08,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.43
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.19
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 12.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.08,
              "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": 13.08,
              "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": 97.8,
              "estimated_amount": 12.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 12.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.43
            },
            {
              "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": 13.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.05,
              "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": 96.5,
              "estimated_amount": 12.62
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 12.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.43
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.05,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.08,
              "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": 95.4,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 12.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.08,
              "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": 13.08,
              "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": 96,
              "estimated_amount": 12.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.08,
              "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": 13.08,
              "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": 13.08,
              "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": 13.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 7.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 12.79
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 11.12
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.05
            },
            {
              "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": 95.4,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 12.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 12.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.05
            },
            {
              "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": 11.51
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 13.08
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.43
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.08,
              "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": 95,
              "estimated_amount": 12.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 12.43
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.05
            }
          ]
        }
      ]
    },
    {
      "description": "\"Contact Drsg Cutimed Sorbact 2-3/4\"\" X 3-1/2\"\"\"",
      "code_information": [
        {
          "code": "PX-CHBI7216511",
          "type": "CDM"
        },
        {
          "code": "A6222",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 20.45,
          "discounted_cash": 13.29,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.45,
              "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": 20.45,
              "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": 96,
              "estimated_amount": 19.63
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.34,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.45,
              "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": 17.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 20
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.43
            },
            {
              "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": 11.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.38
            },
            {
              "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": 20.45,
              "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": 17.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.45,
              "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": 20.45,
              "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": 20.45,
              "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": 20.45,
              "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": 97.8,
              "estimated_amount": 20
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.43
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.43
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.51
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19.63
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.45,
              "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": 18
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.45,
              "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": 95,
              "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": 20.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19.63
            },
            {
              "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": 20.45,
              "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": 17.38
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.34,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.45,
              "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": 20.45,
              "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": 20.45,
              "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": 95.4,
              "estimated_amount": 19.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.45,
              "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": 95,
              "estimated_amount": 19.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.43
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.43
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 20
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 20
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.43
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.53
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 20.45,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 96.5,
              "estimated_amount": 19.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.45,
              "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": 20.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.51
            },
            {
              "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": 95.4,
              "estimated_amount": 19.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19.73
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.43
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.34,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.43
            }
          ]
        }
      ]
    },
    {
      "description": "Friedreich Ataxia Gene Analysis",
      "code_information": [
        {
          "code": "PX-30000279",
          "type": "CDM"
        },
        {
          "code": "81289",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1798,
          "discounted_cash": 1168.7,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1715.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1715.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 557.38
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1708.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1708.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1715.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1715.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1715.29
            },
            {
              "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 UMR CHOICE PLUS [625250]",
              "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": 67.4,
              "estimated_amount": 1211.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 557.38
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1726.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 988.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1708.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1708.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1528.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 611.32
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1726.08
            },
            {
              "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/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1715.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1735.07
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 557.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 557.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1715.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1717.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1758.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1717.09
            },
            {
              "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": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1715.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1735.07
            },
            {
              "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 NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1726.08
            },
            {
              "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": 1582.24
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1528.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 988.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 988.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1708.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1708.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1528.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 557.38
            },
            {
              "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": 1168.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1708.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1528.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 557.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1715.29
            },
            {
              "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/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1715.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1715.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1715.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1717.09
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1726.08
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 557.38
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1726.08
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1708.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1715.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1735.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1717.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1717.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "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": 988.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1708.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 611.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 988.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1708.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1708.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 557.38
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1726.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1715.29
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1708.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1715.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 557.38
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 557.38
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1708.1
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1528.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1715.29
            },
            {
              "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": 95.4,
              "estimated_amount": 1715.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1758.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1735.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1717.09
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 611.32
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1708.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "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": 988.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 611.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1798
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 988.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 611.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1715.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1735.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1735.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1717.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1717.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1735.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1717.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1717.09
            },
            {
              "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 UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1726.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1758.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1758.44
            }
          ],
          "minimum": 694.5,
          "maximum": 694.5
        }
      ]
    },
    {
      "description": "\"Prevail Bariatric Brief Size B Up to 100\"\" Lf\"",
      "code_information": [
        {
          "code": "PX-CH1QPV094",
          "type": "CDM"
        },
        {
          "code": "T4543",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.54,
          "discounted_cash": 1,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.54,
              "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": 95,
              "estimated_amount": 1.46
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.54,
              "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": 95.5,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.49
            },
            {
              "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": 1.54,
              "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": 1.54,
              "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": 1.54,
              "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": 96,
              "estimated_amount": 1.48
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.54,
              "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": 96,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.54,
              "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": 95,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95.4,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96,
              "estimated_amount": 1.48
            },
            {
              "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": 1.36
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.54,
              "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": 1.54,
              "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": 1.54,
              "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": 1.54,
              "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": 1.54,
              "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": 0.85
            },
            {
              "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 HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 1.31
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.54,
              "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": 95,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 67.4,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "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": 95.4,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.54,
              "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": 96,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.54,
              "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": 1.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.49
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.31
            }
          ]
        }
      ]
    },
    {
      "description": "Embolectomy Sgl Lumen Catheter Pulm Lab",
      "code_information": [
        {
          "code": "PX-27200582",
          "type": "CDM"
        },
        {
          "code": "C1757",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 213,
          "discounted_cash": 138.45,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 203.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 205.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 203.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 203.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 213,
              "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": 213,
              "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": 181.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 117.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 181.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 203.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 205.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 213,
              "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": 96,
              "estimated_amount": 204.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 213
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 181.05
            },
            {
              "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": 117.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 117.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 72.42
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 72.42
            },
            {
              "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": 95.4,
              "estimated_amount": 203.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 213,
              "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": 95,
              "estimated_amount": 202.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 203.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 203.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 203.42
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.03,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 208.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 202.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 72.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 208.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 202.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.03
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 202.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 203.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 213,
              "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": 213,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.03
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 204.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 205.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 203.2
            },
            {
              "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": 213,
              "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": 117.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.03
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 202.35
            },
            {
              "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": 213,
              "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": 95,
              "estimated_amount": 202.35
            },
            {
              "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": 213,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 203.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 203.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 213,
              "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": 187.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 117.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.03
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.03,
              "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": 95.4,
              "estimated_amount": 203.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 205.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 203.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 213,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.03
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 213,
              "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": 95,
              "estimated_amount": 202.35
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 202.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 203.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 203.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 213,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 204.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 208.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 117.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 202.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 204.48
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 204.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 205.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 205.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 203.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 213,
              "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": 213,
              "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": 213,
              "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": 213,
              "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": 95,
              "estimated_amount": 202.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 181.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 203.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 203.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 203.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 203.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 203.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 203.2
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.03
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 204.48
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 181.05
            },
            {
              "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": 138.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 205.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 203.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 213,
              "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": 213,
              "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": 95,
              "estimated_amount": 202.35
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.03,
              "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": 213,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 203.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 213,
              "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": 181.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 203.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 203.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 203.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 213,
              "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": 67.4,
              "estimated_amount": 143.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 204.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 117.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 66.03
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 72.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 213,
              "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": 97.8,
              "estimated_amount": 208.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 202.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 202.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 202.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 72.42
            }
          ]
        }
      ]
    },
    {
      "description": "\"Drsg Transparent Window Out Cardinal 4\"\" X 4-3/4\"\" Lf\"",
      "code_information": [
        {
          "code": "PX-CH55TD26C",
          "type": "CDM"
        },
        {
          "code": "A6258",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.59,
          "discounted_cash": 0.38,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.59,
              "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": 96,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.59,
              "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": 0.59,
              "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": 97.8,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.56
            },
            {
              "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": 0.59,
              "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": 0.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.18
            },
            {
              "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": 0.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.59,
              "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": 0.59,
              "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": 67.4,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.59,
              "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": 0.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 0.59
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.59,
              "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": 0.59,
              "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": 0.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.2
            },
            {
              "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": 0.38
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 0.59,
              "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": 0.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 96.5,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.59,
              "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": 95,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "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": 95.4,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.59,
              "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": 96,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 0.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.59,
              "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": 95,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 97.8,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.58
            }
          ]
        }
      ]
    },
    {
      "description": "100% Silicone Foley Cath 2-Way 22 Fr, 10cc Sterile",
      "code_information": [
        {
          "code": "PX-CH6011505",
          "type": "CDM"
        },
        {
          "code": "A4344",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 9.88,
          "discounted_cash": 6.42,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.88,
              "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": 9.88,
              "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": 95,
              "estimated_amount": 9.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.39
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.88,
              "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": 9.88,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.88,
              "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": 9.88,
              "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": 96,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 9.88,
              "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": 9.88,
              "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": 9.88,
              "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": 5.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.39
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 8.4
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.88,
              "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": 8.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9.66
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.36
            },
            {
              "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": 9.88,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.88,
              "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": 9.88,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.06,
              "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": 95.4,
              "estimated_amount": 9.43
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 9.88
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.39
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.44
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.4
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.06,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.43
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.39
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.39
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.88,
              "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": 96,
              "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": 9.88,
              "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": 5.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 9.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.88,
              "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": 9.88,
              "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": 9.88,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.06
            },
            {
              "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": 9.88,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9.66
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.88,
              "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": 8.69
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 9.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.44
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9.66
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.06,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "Cath 2way Foley Tray Ultramer Latex 16fr 5 Cc",
      "code_information": [
        {
          "code": "PX-CH686155",
          "type": "CDM"
        },
        {
          "code": "A4314",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13.8,
          "discounted_cash": 8.97,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 13.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.59
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.11
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.73
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.8,
              "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": 96,
              "estimated_amount": 13.25
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.28
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.11
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.28
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.28,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.8,
              "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": 13.8,
              "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": 95.4,
              "estimated_amount": 13.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.8,
              "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": 13.8,
              "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": 13.8,
              "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": 95,
              "estimated_amount": 13.11
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.69
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.69
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 7.59
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.28,
              "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": 95.4,
              "estimated_amount": 13.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.28
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.8,
              "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": 13.8,
              "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": 13.8,
              "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": 13.8,
              "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": 13.8,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.59
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.32
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 13.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.28
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.28,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.8,
              "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": 13.8,
              "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": 13.8,
              "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": 12.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.11
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.25
            },
            {
              "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": 95.4,
              "estimated_amount": 13.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.17
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.11
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.28
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.73
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.28
            },
            {
              "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": 13.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.28
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.28
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.8,
              "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": 96,
              "estimated_amount": 13.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.25
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.8,
              "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": 13.8,
              "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": 7.59
            }
          ]
        }
      ]
    },
    {
      "description": "Trach Tube Adult Cuffless Shiley Size 4 Lf",
      "code_information": [
        {
          "code": "PX-CHSH4UN65R",
          "type": "CDM"
        },
        {
          "code": "A7520",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 84.71,
          "discounted_cash": 55.06,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.81
            },
            {
              "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": 95.4,
              "estimated_amount": 80.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 80.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 84.71,
              "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": 84.71,
              "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": 46.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 80.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 80.9
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 80.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 80.47
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 28.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 28.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.26
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.26,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 81.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 84.71,
              "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": 96,
              "estimated_amount": 81.32
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 84.71,
              "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": 84.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.26
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 46.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 80.47
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 80.47
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 28.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 81.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.26
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.26,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 84.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 46.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 80.47
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.26
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 80.47
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.26,
              "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": 95.4,
              "estimated_amount": 80.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 80.9
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.26
            },
            {
              "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": 74.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 84.71,
              "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": 84.71,
              "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": 84.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 80.47
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 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": 46.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 46.59
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.81
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 80.47
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 80.47
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 81.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 80.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 84.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 81.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.26
            },
            {
              "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": 84.71,
              "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": 72
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 81.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 82.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 80.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 84.71,
              "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": 84.71,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 82.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 82.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 80.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 80.47
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 28.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 81.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 80.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 84.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 80.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 84.71,
              "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": 84.71,
              "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": 95.4,
              "estimated_amount": 80.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.81
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 82.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 28.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 84.71,
              "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": 84.71,
              "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": 96,
              "estimated_amount": 81.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 81.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 80.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 80.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 80.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 84.71,
              "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": 84.71,
              "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": 84.71,
              "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": 96,
              "estimated_amount": 81.32
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 80.47
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 46.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 46.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 80.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 81.75
            }
          ]
        }
      ]
    },
    {
      "description": "Pmp22 Gene Duplication/Deletion Analysis",
      "code_information": [
        {
          "code": "PX-31000176",
          "type": "CDM"
        },
        {
          "code": "81324",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1947,
          "discounted_cash": 1265.55,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1857.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1857.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1869.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1869.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1869.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1849.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 603.57
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1849.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1904.17
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 603.57
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 603.57,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 603.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1857.44
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 603.57
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1869.12
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 603.57,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1857.44
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1654.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1849.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 758.36,
              "estimated_amount": 758.36
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1869.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1904.17
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 661.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1857.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1857.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1869.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1869.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1869.12
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 603.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1904.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1849.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1654.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1857.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1857.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1857.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1869.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1869.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1878.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1878.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1878.86
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1849.65
            },
            {
              "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": 1070.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1849.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1849.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 661.98
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1849.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1654.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 603.57
            },
            {
              "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": 1265.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1869.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1869.12
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 603.57
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 603.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1947
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1849.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 661.98
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 661.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1857.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1878.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1869.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1869.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1869.12
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1849.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1857.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1869.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1869.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1869.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1869.12
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1849.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1654.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1857.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1857.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1857.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1869.12
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1869.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1878.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1878.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1869.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1869.12
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1654.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1857.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1857.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1869.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1869.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1070.85
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 603.57
            },
            {
              "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": 1713.36
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1849.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1070.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1070.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1849.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1849.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 603.57
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 661.98
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 603.57,
              "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": 96,
              "estimated_amount": 1869.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1070.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1869.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1869.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1869.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1869.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1857.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1857.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1869.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1869.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1904.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1070.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1878.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1869.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1070.85
            }
          ],
          "minimum": 758.36,
          "maximum": 758.36
        }
      ]
    },
    {
      "description": "Insertion of Phrenic Nerve Stimulator System",
      "code_information": [
        {
          "code": "PX-36101080",
          "type": "CDM"
        },
        {
          "code": "33276",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 32093,
          "discounted_cash": 20860.45,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30616.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30616.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 30969.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32093,
              "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": 96,
              "estimated_amount": 30809.28
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 32093,
              "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": 95,
              "estimated_amount": 30488.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10911.62
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 10446.27,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30809.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32093,
              "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": 32093,
              "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": 95,
              "estimated_amount": 30488.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30488.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30488.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9948.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10911.62
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9948.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30616.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 30648.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 30648.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32093,
              "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": 32093,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9948.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30616.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 30969.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 30969.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32093,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9948.83
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27279.05
            },
            {
              "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": 32093,
              "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": 17651.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30488.35
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9948.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32093,
              "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": 32093,
              "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": 32093,
              "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": 32093,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9948.83
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30488.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30616.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30616.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 30648.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32093,
              "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": 95,
              "estimated_amount": 30488.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 30648.82
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 10048.32,
              "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": 17651.15
            },
            {
              "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": 17651.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27279.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30616.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30616.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30616.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32093,
              "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": 96,
              "estimated_amount": 30809.28
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10911.62
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30809.28
            },
            {
              "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": 32093,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 30969.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 30648.82
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9948.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 30969.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30809.28
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30809.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 31386.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9948.83
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27279.05
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 10446.27,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30616.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 30648.82
            },
            {
              "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": 32093,
              "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": 32093,
              "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": 32093,
              "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": 28241.84
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10911.62
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 32093,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30616.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30616.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 30969.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 30648.82
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30488.35
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30488.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30616.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32093,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 31386.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 30969.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 30648.82
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 32093,
              "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": 27279.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30616.72
            },
            {
              "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": 95.4,
              "estimated_amount": 30616.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 30648.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32093,
              "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": 97.8,
              "estimated_amount": 31386.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 31386.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17651.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17651.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30488.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9948.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10911.62
            },
            {
              "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": 20860.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30488.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30616.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30616.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 30616.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 30648.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32093,
              "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": 67.4,
              "estimated_amount": 21630.68
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27279.05
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9948.83
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27279.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17651.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17651.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30488.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 30488.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 30809.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32093,
              "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": 95,
              "estimated_amount": 30488.35
            }
          ]
        }
      ]
    },
    {
      "description": "Insertion of Phrenic Nerve Stim Transvenous Sensing Lead Add On",
      "code_information": [
        {
          "code": "PX-36101081",
          "type": "CDM"
        },
        {
          "code": "33277",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1500,
          "discounted_cash": 975,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1431
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1431
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1431
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1447.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1447.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1440
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1425
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 510
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1440
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1431
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1500,
              "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": 1500,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 465
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1440
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1425
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1425
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1500,
              "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": 95.4,
              "estimated_amount": 1431
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1500,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 465
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1425
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1500,
              "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": 95,
              "estimated_amount": 1425
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1425
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 465
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1467
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 825
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1440
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1431
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1432.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1500,
              "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": 1500,
              "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": 1500,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1440
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 510
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1431
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1432.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1432.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1500,
              "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": 1500,
              "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": 1500,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1431
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1431
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1431
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1500,
              "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": 1500,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 465
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 465
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 975
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1431
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1447.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1447.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1432.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1440
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1275
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 825
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 825
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 465
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1440
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1431
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1500,
              "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": 1320
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1275
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1431
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1431
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 825
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1425
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 465
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 465
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1275
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1447.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1432.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1500,
              "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": 97.8,
              "estimated_amount": 1467
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 825
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1275
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 510
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1432.5
            },
            {
              "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": 95.4,
              "estimated_amount": 1431
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1431
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1432.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1500,
              "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": 67.4,
              "estimated_amount": 1011
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 465
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1431
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1447.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1432.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1432.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1500,
              "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": 1500,
              "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": 95,
              "estimated_amount": 1425
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1467
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 825
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 465
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 510
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1275
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1425
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1425
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 510
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1431
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1425
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1447.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1432.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1467
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1425
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1425
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 825
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1425
            }
          ]
        }
      ]
    },
    {
      "description": "Removal Phrenic Nerve Stim Transvenous Stim or Sensing Lead(S) Only",
      "code_information": [
        {
          "code": "PX-36101083",
          "type": "CDM"
        },
        {
          "code": "33279",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 9735,
          "discounted_cash": 6327.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9287.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9287.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9296.93
            },
            {
              "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": "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": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 6561.39
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9345.6
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9248.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9520.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9248.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3309.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9287.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9296.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9735,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3017.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9248.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3309.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3309.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9248.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9287.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9296.93
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9287.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9287.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9296.93
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3017.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3017.85
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9345.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9394.28
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5354.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9248.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9248.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9394.28
            },
            {
              "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": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9248.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9287.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9287.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9345.6
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3017.85
            },
            {
              "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": 5354.25
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9520.83
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9248.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9248.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3017.85
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3017.85
            },
            {
              "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": "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": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9248.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9287.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9287.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9296.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9287.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9287.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9287.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9394.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3017.85
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3309.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9287.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9287.19
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3017.85
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5354.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9248.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9345.6
            },
            {
              "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": 6327.75
            },
            {
              "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": 95.4,
              "estimated_amount": 9287.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9394.28
            },
            {
              "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 POS/EPO [625220]",
              "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": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9287.19
            },
            {
              "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": "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": "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9248.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9248.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3309.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9345.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9287.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9296.93
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9520.83
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9520.83
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9248.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9394.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9296.93
            },
            {
              "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/GOLDEN RULE [625270]",
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3017.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9345.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9345.6
            },
            {
              "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": 8566.8
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3017.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9394.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9394.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9296.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9296.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9296.93
            },
            {
              "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"
            }
          ]
        }
      ]
    },
    {
      "description": "Transcath Remove & Replace Perm Single Chamb Leadless Pacemaker Right Atrial",
      "code_information": [
        {
          "code": "PX-36101090",
          "type": "CDM"
        },
        {
          "code": "0825T",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 37168,
          "discounted_cash": 24159.2,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35458.27
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 35309.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37168,
              "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": 96,
              "estimated_amount": 35681.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35458.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 35867.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35495.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35495.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20442.4
            },
            {
              "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": 20442.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 35309.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35458.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35458.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35495.44
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31592.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35458.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37168,
              "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": 37168,
              "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": 37168,
              "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": 95,
              "estimated_amount": 35309.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 35309.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11522.08
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31592.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12637.12
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12637.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35458.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 35867.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 35681.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 35309.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35458.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 35867.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 35867.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37168,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11522.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35458.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 35867.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35495.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35495.44
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11522.08
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 25051.23
            },
            {
              "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": 32707.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 36350.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11522.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 36350.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 36350.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 35309.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31592.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31592.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11522.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35458.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35458.27
            },
            {
              "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": 37168,
              "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": 37168,
              "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": 95,
              "estimated_amount": 35309.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20442.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11522.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 35867.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35495.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 35681.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35458.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35458.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35495.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37168,
              "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": 37168,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 35681.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 35309.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 35309.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11522.08
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12637.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20442.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35458.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35458.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35458.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35495.44
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31592.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20442.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20442.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 35309.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11522.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12637.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35458.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35495.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37168,
              "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": 37168,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11522.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 36350.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37168,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11522.08
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 35309.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12637.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37168,
              "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": 37168,
              "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": 96,
              "estimated_amount": 35681.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20442.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35458.27
            },
            {
              "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": 95.4,
              "estimated_amount": 35458.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35495.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37168,
              "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": 37168,
              "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": 96.5,
              "estimated_amount": 35867.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37168,
              "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": 95,
              "estimated_amount": 35309.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 35309.6
            },
            {
              "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": 24159.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 35681.28
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 35681.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37168,
              "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": 95,
              "estimated_amount": 35309.6
            }
          ]
        }
      ]
    },
    {
      "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 217.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 217.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 217.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 217.74
            },
            {
              "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": "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 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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 218.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 216.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 217.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 217.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 222.98
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 77.52
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 77.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 125.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 217.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 217.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 220.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 217.74
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 217.74
            },
            {
              "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": 228,
              "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": 228,
              "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": 228
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 216.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 216.6
            },
            {
              "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": 125.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 77.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 217.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 217.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 220.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 217.74
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.68
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 218.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 222.98
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.68
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 77.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 217.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 217.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 217.74
            },
            {
              "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": "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 217.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 220.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 217.74
            },
            {
              "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 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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 218.88
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 216.6
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 222.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 217.51
            },
            {
              "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": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 153.67
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.68
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 216.6
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.68
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 218.88
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 193.8
            },
            {
              "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": "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 222.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 216.6
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 217.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 220.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 217.74
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 216.6
            },
            {
              "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": 148.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 218.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 217.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 228,
              "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": 95,
              "estimated_amount": 216.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 217.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 216.6
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 220.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 220.02
            },
            {
              "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": "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 216.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 216.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.68
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 216.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 217.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 220.02
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 216.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 217.51
            },
            {
              "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": 95.4,
              "estimated_amount": 217.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 217.74
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 216.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 77.52
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.68
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 218.88
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 218.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 217.74
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 70.68
            }
          ]
        }
      ]
    },
    {
      "description": "Coronary Ffr Estimate From Ccta",
      "code_information": [
        {
          "code": "PX-48000106",
          "type": "CDM"
        },
        {
          "code": "75580",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3764,
          "discounted_cash": 2446.6,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3613.44
            },
            {
              "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": 3312.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3681.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3681.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1166.84
            },
            {
              "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": 2446.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3764,
              "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": 3764,
              "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": 3764,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1166.84
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1166.84
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1279.76
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1279.76
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3613.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3632.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3594.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3594.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3764,
              "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": 3764,
              "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": 67.4,
              "estimated_amount": 2536.94
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3613.44
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1166.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3764,
              "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": 3764,
              "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": 2070.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1279.76
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3613.44
            },
            {
              "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": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3594.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3632.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3764,
              "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": 3764,
              "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": 95,
              "estimated_amount": 3575.8
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3199.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3632.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3594.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3764,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3613.44
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3199.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3764
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3575.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2070.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3575.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3594.62
            },
            {
              "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": 3764,
              "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": 3764,
              "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": 97.8,
              "estimated_amount": 3681.19
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1166.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3632.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3575.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3575.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3575.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3575.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1166.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3632.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3594.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3764,
              "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": 3764,
              "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": 2070.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1279.76
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1279.76
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3613.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3594.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3594.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3594.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3764,
              "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": 96.5,
              "estimated_amount": 3632.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3632.26
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1166.84
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3575.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3575.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3594.62
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3575.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2070.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3199.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3199.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1166.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2070.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2070.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3575.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3199.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3764,
              "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": 3764,
              "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": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3575.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3575.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1166.84
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1166.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3613.44
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3575.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3681.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2070.2
            }
          ]
        }
      ]
    },
    {
      "description": "St Caregiver Training Group",
      "code_information": [
        {
          "code": "PX-44000052",
          "type": "CDM"
        },
        {
          "code": "97552",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 84,
          "discounted_cash": 54.6,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.14
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 71.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 79.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 84,
              "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": 84,
              "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": 84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 79.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 79.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.04
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 28.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 46.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 79.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 80.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 80.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 84,
              "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": 84,
              "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": 95.4,
              "estimated_amount": 80.14
            },
            {
              "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": 95.4,
              "estimated_amount": 80.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 81.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 81.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 80.22
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 79.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 46.2
            },
            {
              "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": 46.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 28.56
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 80.22
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 82.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 79.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 80.22
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 81.06
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 79.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 79.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.04
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 81.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 80.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 95,
              "estimated_amount": 79.8
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 79.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 82.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 46.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 79.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 84,
              "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": 84,
              "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": 95,
              "estimated_amount": 79.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.14
            },
            {
              "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": 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": 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": 73.92
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 71.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 79.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 46.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 28.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 80.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 46.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 28.56
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.04
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 80.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 84,
              "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": 67.4,
              "estimated_amount": 56.62
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 80.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 84,
              "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": 84,
              "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": 71.4
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 28.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 46.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 79.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 71.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 96.5,
              "estimated_amount": 81.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 81.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 80.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 82.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 71.4
            },
            {
              "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": 54.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 80.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 81.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 82.15
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 80.64
            }
          ]
        }
      ]
    },
    {
      "description": "Antimicrobial Wound Cleanser 4 Oz Bottle Lf",
      "code_information": [
        {
          "code": "PX-CHQD4004C",
          "type": "CDM"
        },
        {
          "code": "A6260",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 7.69,
          "discounted_cash": 5,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.69,
              "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": 4.23
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.54
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.69,
              "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": 7.69,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.31
            },
            {
              "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": 7.69,
              "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": 95.4,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.34
            },
            {
              "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": 7.69,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.69,
              "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": 6.77
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.69,
              "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": 7.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.69,
              "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": 7.69,
              "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": 95,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.69,
              "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": 95,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.34
            },
            {
              "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": 95.4,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.69,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 7.69,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.69,
              "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": 6.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.69,
              "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": 96,
              "estimated_amount": 7.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 4.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.69,
              "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": 7.69,
              "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": 7.69,
              "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": 7.69,
              "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": 7.69,
              "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": 97.8,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.69,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.54
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.38
            }
          ]
        }
      ]
    },
    {
      "description": "Dnpwt (Disposable Wound Vac)",
      "code_information": [
        {
          "code": "PX-109482",
          "type": "CDM"
        },
        {
          "code": "A9272",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 270.09,
          "discounted_cash": 175.56,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 257.67
            },
            {
              "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": 270.09,
              "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": 270.09,
              "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": 270.09,
              "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": 95,
              "estimated_amount": 256.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 256.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 83.73
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 229.58
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 83.73,
              "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": 95,
              "estimated_amount": 256.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 83.73
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 91.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 91.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 264.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 148.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 260.64
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 83.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 257.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 257.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 270.09,
              "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": 229.58
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 91.83
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 259.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 264.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 264.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 256.59
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 256.59
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 83.73,
              "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": 96.5,
              "estimated_amount": 260.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 270.09,
              "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": 237.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 264.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 148.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 91.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 270.09,
              "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": 95.4,
              "estimated_amount": 257.67
            },
            {
              "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": 95.4,
              "estimated_amount": 257.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 260.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 257.94
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 83.73
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 259.29
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 259.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 256.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 257.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 270.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 83.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 148.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 256.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 83.73
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 91.83
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 229.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 257.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 257.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 257.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 257.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 257.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 270.09,
              "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": 96,
              "estimated_amount": 259.29
            },
            {
              "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": 270.09,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 256.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 257.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 257.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 270.09,
              "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": 270.09,
              "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": 148.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 83.73
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 229.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 148.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 256.59
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 83.73,
              "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": 95.4,
              "estimated_amount": 257.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 257.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 270.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 259.29
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 83.73
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 259.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 260.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 257.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 270.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 83.73
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 256.59
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 256.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 260.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 257.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 257.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 257.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 270.09,
              "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": 148.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 257.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 257.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 260.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 257.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 270.09,
              "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": 229.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 270.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 260.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 270.09,
              "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": 95.4,
              "estimated_amount": 257.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 257.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 270.09,
              "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": 270.09,
              "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": 96,
              "estimated_amount": 259.29
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 256.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 256.59
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 83.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 257.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 257.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 257.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 270.09,
              "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": 148.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 256.59
            }
          ]
        }
      ]
    },
    {
      "description": "Barrier Skin Protectant Spray 4 Oz Cleanser Foam Theraworx",
      "code_information": [
        {
          "code": "PX-CHABXHXC04Z",
          "type": "CDM"
        },
        {
          "code": "A9286",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13.83,
          "discounted_cash": 8.99,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96,
              "estimated_amount": 13.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 13.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.19
            },
            {
              "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": 13.83,
              "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": 13.83,
              "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": 95,
              "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": 7.61
            },
            {
              "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": 7.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.14
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.83,
              "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": 13.83,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.28
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.28
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.83,
              "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": 13.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 13.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.14
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.14
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.28
            },
            {
              "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": 95.4,
              "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": 95.5,
              "estimated_amount": 13.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.83,
              "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": 96,
              "estimated_amount": 13.28
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 13.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.61
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.83,
              "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": 95.4,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.83,
              "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": 95,
              "estimated_amount": 13.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13.53
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 13.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.83,
              "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": 13.83,
              "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": 13.83,
              "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": 11.76
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.83,
              "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": 95.4,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 13.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 13.21
            },
            {
              "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": 12.17
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.83,
              "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": 13.83,
              "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": 7.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.61
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.83,
              "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": 13.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 13.53
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 13.14
            }
          ]
        }
      ]
    },
    {
      "description": "1 Pc Ctf Urostomy Pouch Up to 2-1-2\"\"",
      "code_information": [
        {
          "code": "PX-CHHO84690",
          "type": "CDM"
        },
        {
          "code": "A4428",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.02,
          "discounted_cash": 0.66,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.32
            },
            {
              "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": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.5,
              "estimated_amount": 0.97
            },
            {
              "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 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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.97
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1
            },
            {
              "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": "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": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.97
            },
            {
              "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": "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": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.97
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.97
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.98
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.97
            },
            {
              "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 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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.97
            },
            {
              "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": 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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.97
            },
            {
              "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": "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.32,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.56
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.32,
              "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": 95.4,
              "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": 95.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.32
            },
            {
              "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 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": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.32,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 1.02,
              "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": 95,
              "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": 96.5,
              "estimated_amount": 0.98
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.97
            },
            {
              "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": 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": 1.02,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.97
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.35
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.98
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "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": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.35
            }
          ]
        }
      ]
    },
    {
      "description": "1 Pc Moldable Ext Wear 1 1-8 X 1 1-2",
      "code_information": [
        {
          "code": "PX-CHCV413516",
          "type": "CDM"
        },
        {
          "code": "A4424",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8.38,
          "discounted_cash": 5.45,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.38,
              "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": 8.38,
              "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": 4.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.96
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.12
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.6,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 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": 8.38,
              "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": 8.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.96
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.38,
              "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": 8.38,
              "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": 8.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.38,
              "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": 8.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.12
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.38,
              "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": 96,
              "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": 4.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.38,
              "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": 95.4,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 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": 8.38,
              "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": 95,
              "estimated_amount": 7.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 96.5,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.38,
              "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": 95.4,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 8.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.6,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 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": 8.38,
              "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": 97.8,
              "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": 95,
              "estimated_amount": 7.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.04
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.96
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.6,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.38,
              "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": 8.38,
              "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": 96,
              "estimated_amount": 8.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 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": 8.38,
              "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": 8.38,
              "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": 7.37
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.96
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.2
            },
            {
              "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": 8.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.96
            }
          ]
        }
      ]
    },
    {
      "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": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.62
            },
            {
              "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": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.61
            },
            {
              "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": 0.56
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.64,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.54
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.61
            },
            {
              "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 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": "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": "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": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 0.64
            },
            {
              "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": "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/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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.61
            },
            {
              "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 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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.61
            },
            {
              "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 ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.61
            },
            {
              "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": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.61
            },
            {
              "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": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.61
            },
            {
              "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/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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.61
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.61
            },
            {
              "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": "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.54
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 97.8,
              "estimated_amount": 0.63
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.61
            },
            {
              "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": 95.4,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.61
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.62
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.22
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.62
            },
            {
              "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": 0.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.61
            }
          ]
        }
      ]
    },
    {
      "description": "\"Foam Drsg Adhesive Tegaderm 7 1-2\"\"X 8 3-4\"\" Oval Border\"",
      "code_information": [
        {
          "code": "PX-CH3M90616",
          "type": "CDM"
        },
        {
          "code": "A6213",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8.85,
          "discounted_cash": 5.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.74
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.74,
              "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": 95,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 8.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.87
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.74,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.85,
              "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": 96,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 4.87
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.85,
              "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": 8.85,
              "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": 8.85,
              "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": 4.87
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.85,
              "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": 8.85,
              "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": 7.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 97.8,
              "estimated_amount": 8.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.87
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.85,
              "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": 8.85,
              "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": 8.85,
              "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": 8.85,
              "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": 97.8,
              "estimated_amount": 8.66
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.74
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.54
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.74
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8.85,
              "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": 95.5,
              "estimated_amount": 8.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.45
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.74
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 4.87
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.74,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.85,
              "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": 8.85,
              "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": 95.4,
              "estimated_amount": 8.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.44
            },
            {
              "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": 95.4,
              "estimated_amount": 8.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.85,
              "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": 8.85,
              "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": 95,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 8.41
            },
            {
              "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": 8.85,
              "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": 95,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.74
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 7.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.85,
              "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": 4.87
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.74
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.52
            },
            {
              "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": 4.87
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.74
            }
          ]
        }
      ]
    },
    {
      "description": "Compression Stocking Large Knee Hi X Firm",
      "code_information": [
        {
          "code": "PX-CHBI121475",
          "type": "CDM"
        },
        {
          "code": "A6531",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 86.17,
          "discounted_cash": 56.01,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 82.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 82.21
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 82.72
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.71
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 82.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 83.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 82.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 86.17,
              "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": 86.17,
              "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": 86.17,
              "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": 97.8,
              "estimated_amount": 84.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 81.86
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 82.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 82.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 86.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.71
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 82.72
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 81.86
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 86.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.71
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 82.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 82.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 86.17,
              "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": 47.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 82.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 86.17,
              "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": 86.17,
              "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": 86.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 82.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 82.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 83.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 82.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 86.17,
              "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": 67.4,
              "estimated_amount": 58.08
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 81.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 84.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 81.86
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 29.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.71
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 81.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 82.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 83.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 83.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 84.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 81.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 81.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 82.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 82.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 82.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 86.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 82.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 82.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 83.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 82.29
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 82.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 81.86
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.24
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 84.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 81.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 82.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 82.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 82.29
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 81.86
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 29.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 82.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 82.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 86.17,
              "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": 95.4,
              "estimated_amount": 82.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 82.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 86.17,
              "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": 86.17,
              "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": 73.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 81.86
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 82.72
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 29.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 29.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 81.86
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.24
            },
            {
              "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": 56.01
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 82.21
            },
            {
              "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": 95.4,
              "estimated_amount": 82.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 83.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 86.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.71
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 83.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 82.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 82.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 86.17,
              "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": 96,
              "estimated_amount": 82.72
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 81.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.39
            },
            {
              "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": 47.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 81.86
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 26.71
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 86.17,
              "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": 86.17,
              "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": 75.83
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 29.3
            }
          ]
        }
      ]
    },
    {
      "description": "Drug Screen for Amphetamines 3 or 4 Sendout",
      "code_information": [
        {
          "code": "PX-30101562",
          "type": "CDM"
        },
        {
          "code": "80325",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 77,
          "discounted_cash": 50.05,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 73.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 73.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 42.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 73.15
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 26.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 73.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 73.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 26.18
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 23.87,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 26.18
            },
            {
              "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": 77,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 74.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 74.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 65.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 73.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 73.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 73.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 23.87,
              "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": 42.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 73.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 65.45
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 23.87
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            },
            {
              "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": 77,
              "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": 95.4,
              "estimated_amount": 73.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 74.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 23.87
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 73.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 75.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 42.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 73.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 73.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 65.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 73.15
            },
            {
              "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": 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": 65.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 74.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            },
            {
              "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": 77,
              "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": 67.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 73.15
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 23.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 73.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 74.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 75.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 23.87
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 26.18
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 26.18
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 73.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 51.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 73.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 42.35
            },
            {
              "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": 77,
              "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": 77
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 23.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 73.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 73.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 73.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 23.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 73.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 73.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 73.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 73.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 23.87
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 73.15
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 73.15
            },
            {
              "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": 95.4,
              "estimated_amount": 73.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 74.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 23.87
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 65.45
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 23.87,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 75.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 42.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 42.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 73.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 23.87
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 65.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 73.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 73.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 74.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 77,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 23.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 75.31
            },
            {
              "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": 42.35
            },
            {
              "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": 50.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 73.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 73.92
            }
          ]
        }
      ]
    },
    {
      "description": "Injection Anes Inferior Hypogastric Plexus",
      "code_information": [
        {
          "code": "PX-36101095",
          "type": "CDM"
        },
        {
          "code": "64999",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 10976,
          "discounted_cash": 7134.4,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10471.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10471.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10471.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10482.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10976,
              "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": 10976,
              "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": 10976,
              "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": 96,
              "estimated_amount": 10536.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10734.53
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9329.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3402.56,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3731.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10471.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10976,
              "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": 10976,
              "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": 10976,
              "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": 10976,
              "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": 10976,
              "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": 97.8,
              "estimated_amount": 10734.53
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3402.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10471.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10471.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10471.1
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10427.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10471.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10482.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10482.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10976,
              "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": 97.8,
              "estimated_amount": 10734.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10427.2
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10536.96
            },
            {
              "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": 10976,
              "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": 9329.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10471.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10591.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10482.08
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 7397.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 10976
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10427.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10591.84
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3402.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10536.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10482.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10976,
              "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": 10976,
              "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": 10976,
              "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": 6036.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3731.84
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10427.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10976,
              "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": 6036.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6036.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9329.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10471.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10471.1
            },
            {
              "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": 95.4,
              "estimated_amount": 10471.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10471.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10471.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10591.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10591.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10591.84
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 10976,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10427.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10482.08
            },
            {
              "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": 10976,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10536.96
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9329.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6036.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10427.2
            },
            {
              "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": 7134.4
            },
            {
              "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": 6036.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6036.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3731.84
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10427.2
            },
            {
              "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": 10976,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10471.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10976,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3402.56
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 10976,
              "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": 97.8,
              "estimated_amount": 10734.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10427.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10482.08
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3402.56
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10427.2
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9329.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10471.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10471.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10976,
              "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": 10976,
              "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": 96,
              "estimated_amount": 10536.96
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3402.56,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10427.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6036.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10427.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10427.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3402.56
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3402.56,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10536.96
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 10976,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10482.08
            },
            {
              "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": 9658.88
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3402.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10427.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3402.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10471.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10591.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10591.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10482.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10976,
              "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": 95,
              "estimated_amount": 10427.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3402.56
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9329.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3402.56
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3402.56
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10536.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10482.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3731.84
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3731.84
            }
          ]
        }
      ]
    },
    {
      "description": "\"Oxygen Tubing Three Channel 25 Ft X 3-16\"\" ID\"",
      "code_information": [
        {
          "code": "PX-CHSA2025",
          "type": "CDM"
        },
        {
          "code": "A4616",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.96,
          "discounted_cash": 1.27,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 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": 95.4,
              "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": 1.96,
              "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": 97.8,
              "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": 97.8,
              "estimated_amount": 1.92
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.67
            },
            {
              "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": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.96,
              "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": 1.67
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 1.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.92
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 1.89
            },
            {
              "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 MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 1.96,
              "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": 1.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.87
            },
            {
              "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": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.86
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.88
            },
            {
              "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": 1.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.87
            },
            {
              "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": 95.4,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 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": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.92
            },
            {
              "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": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 67.4,
              "estimated_amount": 1.32
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.86
            },
            {
              "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": 1.08
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.88
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95.4,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.96,
              "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": 1.96,
              "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": 1.72
            },
            {
              "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": 95,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 1.96,
              "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": 1.96,
              "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": 95,
              "estimated_amount": 1.86
            }
          ]
        }
      ]
    },
    {
      "description": "\"Trach Cannula Adult Demand Salter W 7\"\" Tube Lf\"",
      "code_information": [
        {
          "code": "PX-CHSA4807",
          "type": "CDM"
        },
        {
          "code": "A4615",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.61,
          "discounted_cash": 2.35,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 1.99
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 3.07
            },
            {
              "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": 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": 95.4,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.61,
              "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": 3.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.99
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.07
            },
            {
              "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": 1.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.61,
              "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": 3.61,
              "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": 3.18
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.07
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.61,
              "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": 96,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.12
            },
            {
              "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": 3.61,
              "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": 3.61,
              "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": 95,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.99
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.61,
              "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": 67.4,
              "estimated_amount": 2.43
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.61,
              "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": 95,
              "estimated_amount": 3.43
            },
            {
              "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": 95.4,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.61,
              "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": 3.61,
              "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": 3.61,
              "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": 3.61,
              "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": 96,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.61,
              "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": 3.61,
              "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": 95,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.45
            }
          ]
        }
      ]
    },
    {
      "description": "Foley Insert Tray Lubricath 18 Fr W Bag\ufffd Statlock A899918",
      "code_information": [
        {
          "code": "PX-CHBA899918",
          "type": "CDM"
        },
        {
          "code": "A4314",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 35.79,
          "discounted_cash": 23.26,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.79,
              "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": 35.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.09
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.09
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.42
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.09
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 34.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.79,
              "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": 35.79,
              "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": 35.79,
              "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": 96,
              "estimated_amount": 34.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.79,
              "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": 95,
              "estimated_amount": 34
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 35.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.68
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 34.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.09
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.09,
              "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": 95.4,
              "estimated_amount": 34.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34.54
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.09
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 34.36
            },
            {
              "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": 35.79,
              "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": 95,
              "estimated_amount": 34
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.09,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.79,
              "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": 35.79,
              "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": 30.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.79,
              "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": 95,
              "estimated_amount": 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": 35.79,
              "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": 97.8,
              "estimated_amount": 35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.79,
              "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": 35.79,
              "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": 95,
              "estimated_amount": 34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.09
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.17
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.17
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.18
            },
            {
              "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": 35.79,
              "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": 35.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 34.36
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.09
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34.54
            },
            {
              "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": 31.5
            },
            {
              "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": 95.4,
              "estimated_amount": 34.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.09
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.09,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.42
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 34.36
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35.79,
              "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": 95,
              "estimated_amount": 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": 19.68
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.17
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.79,
              "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": 96,
              "estimated_amount": 34.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.79,
              "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": 97.8,
              "estimated_amount": 35
            }
          ]
        }
      ]
    },
    {
      "description": "0% Isopropyl Alcohol Swabstick Single, Sterile",
      "code_information": [
        {
          "code": "PX-CH55ASAPSWBS",
          "type": "CDM"
        },
        {
          "code": "A4245",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.09,
          "discounted_cash": 0.06,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.09
            },
            {
              "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": 0.09,
              "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": 95,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.09
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 97.8,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.09
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.09,
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.09
            },
            {
              "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": "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 OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.09,
              "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": 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": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.03,
              "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": 0.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.09
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.09
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 0.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95.5,
              "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": 95.5,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.09
            },
            {
              "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 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/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": "BUCKEYE COMMUNITY 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": "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": "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": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.03
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.5,
              "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": 0.09,
              "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": 95,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.03
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.5,
              "estimated_amount": 0.09
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 0.09
            },
            {
              "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": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.03,
              "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": 96,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.09
            },
            {
              "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 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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "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": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "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": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.03,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "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": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1097.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1097.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1109.75
            },
            {
              "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": "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 977.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 356.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1097.1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 356.5
            },
            {
              "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": 1012
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1092.5
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 356.5,
              "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": 632.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1092.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 356.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1097.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1097.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1097.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1097.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1109.75
            },
            {
              "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 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 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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 356.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1104
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 356.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1098.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1150,
              "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": 97.8,
              "estimated_amount": 1124.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1124.7
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 632.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 356.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 391
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1097.1
            },
            {
              "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": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 356.5,
              "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": 95,
              "estimated_amount": 1092.5
            },
            {
              "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": 95.4,
              "estimated_amount": 1097.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1097.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1098.25
            },
            {
              "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": "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": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1098.25
            },
            {
              "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": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1124.7
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 391
            },
            {
              "payer_name": "HUMANA [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": "UHC 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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 632.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1092.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1092.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1092.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1092.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 356.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 356.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1097.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1097.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1098.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": "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": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1109.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1098.25
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1097.1
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1124.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1092.5
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 391
            },
            {
              "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": 1150,
              "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": 632.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 391
            },
            {
              "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": 96,
              "estimated_amount": 1104
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1109.75
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 356.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1104
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1092.5
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1092.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 391
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1097.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1097.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1109.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1098.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1098.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1098.25
            },
            {
              "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": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1092.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1098.25
            },
            {
              "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": 1150,
              "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": 95.4,
              "estimated_amount": 1097.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1109.75
            },
            {
              "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": 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": 95,
              "estimated_amount": 1092.5
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1092.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1104
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1092.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1098.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1104
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1104
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1097.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1109.75
            },
            {
              "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 GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1150,
              "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": 977.5
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 356.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1097.1
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 775.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1104
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 356.5
            }
          ]
        }
      ]
    },
    {
      "description": "\"Self Adherent Bandage 2\"\" X 5 Yds\"",
      "code_information": [
        {
          "code": "PX-CH55CAH25",
          "type": "CDM"
        },
        {
          "code": "A6453",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.76,
          "discounted_cash": 1.14,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.7
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.55
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.7
            },
            {
              "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": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.67
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.68
            },
            {
              "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.7
            },
            {
              "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 OXFORD [625260]",
              "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 CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.76,
              "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": 96,
              "estimated_amount": 1.69
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 1.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.55
            },
            {
              "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": 1.76,
              "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": 95,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.69
            },
            {
              "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": 95.4,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.68
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.72
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.68
            },
            {
              "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 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": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 1.68
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "HUMANA [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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 1.76,
              "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": 96,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.76,
              "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": 95.4,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.68
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.68
            },
            {
              "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": 0.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.68
            },
            {
              "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 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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.69
            },
            {
              "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": "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": "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 MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.69
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.6
            }
          ]
        }
      ]
    },
    {
      "description": "Youth Pants Comfees Drnite Large/Xl 60-125 Lbs",
      "code_information": [
        {
          "code": "PX-CHAPCMFYLXL80",
          "type": "CDM"
        },
        {
          "code": "T4534",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.12,
          "discounted_cash": 0.73,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.12,
              "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": 1.12,
              "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": 95,
              "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": 95,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 95,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 1.12,
              "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": 1.12,
              "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": 1.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 67.4,
              "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": 0.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 0.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 96.5,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.12,
              "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": 1.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.12,
              "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": 95,
              "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": 1.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 1.12,
              "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": 1.12,
              "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": 96,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "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": 95.4,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.1
            },
            {
              "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": 0.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.12,
              "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": 1.12,
              "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": 95,
              "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": 0.62
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "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": 0.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.12,
              "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": 1.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.12,
              "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": 1.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            }
          ]
        }
      ]
    },
    {
      "description": "Lidocaine Level",
      "code_information": [
        {
          "code": "PX-30101565",
          "type": "CDM"
        },
        {
          "code": "80176",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 191,
          "discounted_cash": 124.15,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 182.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 182.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.09,
              "estimated_amount": 55.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.09,
              "estimated_amount": 55.09
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 162.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 181.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 182.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 182.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 184.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 182.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 105.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 59.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 182.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 184.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.09,
              "estimated_amount": 55.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.09,
              "estimated_amount": 55.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.09,
              "estimated_amount": 55.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.09,
              "estimated_amount": 55.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 182.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 182.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 181.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 181.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 59.21
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 64.94
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 59.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 105.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 181.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.09,
              "estimated_amount": 55.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 105.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 64.94
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 162.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 64.94
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 59.21
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 181.45
            },
            {
              "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": 95.4,
              "estimated_amount": 182.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.09,
              "estimated_amount": 55.09
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 181.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 183.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 105.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 105.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 181.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 182.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 182.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.09,
              "estimated_amount": 55.09
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 183.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 182.41
            },
            {
              "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": 168.08
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 181.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 182.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 184.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 182.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 183.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 186.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 181.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 162.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 191
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 186.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 186.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 105.05
            },
            {
              "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": 124.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 182.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 182.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 182.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 182.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 182.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 182.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.09,
              "estimated_amount": 55.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.09,
              "estimated_amount": 55.09
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 181.45
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 162.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 182.21
            },
            {
              "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": 105.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.09,
              "estimated_amount": 55.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 181.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 59.21
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 183.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 182.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 182.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 182.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.09,
              "estimated_amount": 55.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.09,
              "estimated_amount": 55.09
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 128.73
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 183.36
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 181.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 186.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 64.94
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 59.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 181.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 182.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 182.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 184.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.09,
              "estimated_amount": 55.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.09,
              "estimated_amount": 55.09
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 59.21
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 59.21
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 59.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 182.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 184.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 184.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 184.32
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 183.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 181.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 59.21
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 162.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 182.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.09,
              "estimated_amount": 55.09
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 64.94
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 183.36
            }
          ],
          "minimum": 55.09,
          "maximum": 55.09
        }
      ]
    },
    {
      "description": "Oxygen Tube With Cannula 14 Ft 3 Channel",
      "code_information": [
        {
          "code": "PX-CHSA160014",
          "type": "CDM"
        },
        {
          "code": "A4615",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.21,
          "discounted_cash": 0.79,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.15
            },
            {
              "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": 95.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.18
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.21,
              "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": 1.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 1.21,
              "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": 0.67
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.03
            },
            {
              "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": 0.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 1.21
            },
            {
              "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": 0.67
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.21,
              "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": 1.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 97.8,
              "estimated_amount": 1.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 1.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.21,
              "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": 1.21,
              "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": 1.21,
              "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": 1.21,
              "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": 96,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.21,
              "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": 95,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "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": 96,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.21,
              "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": 1.03
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.21,
              "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": 95,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.21,
              "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": 1.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.21,
              "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": 1.21,
              "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": 95,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.15
            },
            {
              "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": 1.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.15
            }
          ]
        }
      ]
    },
    {
      "description": "Transcath Insert Dual Chamber Leadles Pacemaker",
      "code_information": [
        {
          "code": "PX-36101102",
          "type": "CDM"
        },
        {
          "code": "0795T",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 26745,
          "discounted_cash": 17384.25,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25514.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25514.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26745,
              "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": 26745,
              "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": 95,
              "estimated_amount": 25407.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14709.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 25407.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 25407.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25514.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 25541.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26745,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8290.95
            },
            {
              "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": 26745,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 9093.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 25407.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 25675.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14709.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 22733.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 25541.48
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8290.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25514.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25514.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26745,
              "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": 22733.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14709.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 25407.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 22733.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 25407.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8290.95
            },
            {
              "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": 17384.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 25808.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26745,
              "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": 97.8,
              "estimated_amount": 26156.61
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 8705.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 25541.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 25541.48
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 25675.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 25808.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 25541.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26745,
              "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": 26745,
              "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": 26745,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 25675.2
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 25407.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14709.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 25675.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25514.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 25808.93
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 8373.86,
              "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": 14709.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 22733.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 9093.3
            },
            {
              "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": 26745,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25514.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 25541.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 25541.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 25541.48
            },
            {
              "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": 26745,
              "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": 95,
              "estimated_amount": 25407.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25514.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26745,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8290.95
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 22733.25
            },
            {
              "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": 26745,
              "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": 97.8,
              "estimated_amount": 26156.61
            },
            {
              "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": 26745,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25514.73
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8290.95
            },
            {
              "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": 26745,
              "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": 23535.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 26156.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14709.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 25407.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8290.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25514.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26745,
              "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": 67.4,
              "estimated_amount": 18026.13
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 26745,
              "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": 14709.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 25541.48
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 25675.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 25407.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 25407.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8290.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 25407.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 8705.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25514.73
            },
            {
              "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": 95.4,
              "estimated_amount": 25514.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25514.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 25808.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26745,
              "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": 95,
              "estimated_amount": 25407.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 26745
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8290.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 9093.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 9093.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25514.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 25541.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26745,
              "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": 96,
              "estimated_amount": 25675.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25514.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25514.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25514.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 25808.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 25808.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 25808.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26745,
              "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": 26745,
              "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": 97.8,
              "estimated_amount": 26156.61
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8290.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 22733.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 25675.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25514.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26745,
              "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": 26745,
              "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": 95,
              "estimated_amount": 25407.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8290.95
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 9093.3
            }
          ]
        }
      ]
    },
    {
      "description": "Medegen Med Products Bedpan Conventional, Gold",
      "code_information": [
        {
          "code": "PX-CHKIH13105",
          "type": "CDM"
        },
        {
          "code": "E0275",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 7.67,
          "discounted_cash": 4.99,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.67,
              "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": 7.67,
              "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": 95,
              "estimated_amount": 7.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.67,
              "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": 7.67,
              "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": 7.67,
              "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": 6.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 7.67,
              "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": 95,
              "estimated_amount": 7.29
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.29
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.67,
              "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": 4.22
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.29
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.52
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.38
            },
            {
              "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": 95.4,
              "estimated_amount": 7.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.29
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 7.67,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.67,
              "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": 7.67,
              "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": 96,
              "estimated_amount": 7.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 4.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.32
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.52
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.36
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.32
            },
            {
              "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": 7.67,
              "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": 7.67,
              "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": 95.5,
              "estimated_amount": 7.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.67,
              "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": 96,
              "estimated_amount": 7.36
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.32
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.29
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.52
            },
            {
              "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": 4.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 7.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.67,
              "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": 96,
              "estimated_amount": 7.36
            },
            {
              "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": 6.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 7.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.67,
              "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": 67.4,
              "estimated_amount": 5.17
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.67,
              "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": 7.67,
              "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": 4.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.29
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.32
            }
          ]
        }
      ]
    },
    {
      "description": "Syringe Enfit Vesco 10 Ml",
      "code_information": [
        {
          "code": "PX-CH97610",
          "type": "CDM"
        },
        {
          "code": "A9900",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.31,
          "discounted_cash": 0.2,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.3
            },
            {
              "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/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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 97.8,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.31,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 0.3
            },
            {
              "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": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 67.4,
              "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": 95.4,
              "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": 95.4,
              "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": 95.4,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.31,
              "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": 95,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.3
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.31,
              "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": 0.31,
              "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": 0.31,
              "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": 0.27
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.3
            },
            {
              "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": "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": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.31,
              "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": "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.29
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.26
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.3
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.31,
              "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": 95,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 97.8,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.31,
              "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": 0.31,
              "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": 95.4,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.3
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 96,
              "estimated_amount": 0.3
            },
            {
              "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 MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.31,
              "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": 0.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.29
            }
          ]
        }
      ]
    },
    {
      "description": "Tap Block Unilateral by Injection(S)",
      "code_information": [
        {
          "code": "PX-36101103",
          "type": "CDM"
        },
        {
          "code": "64486",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5501,
          "discounted_cash": 3575.65,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5247.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5247.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5253.46
            },
            {
              "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": 4840.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5225.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5308.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5308.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5253.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5501,
              "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": 5501,
              "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": 97.8,
              "estimated_amount": 5379.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3025.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1870.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5225.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5280.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5247.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5247.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5501,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1705.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5280.96
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5225.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5247.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5247.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5308.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5253.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5501,
              "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": 96,
              "estimated_amount": 5280.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5501,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5225.95
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1870.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5247.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5501,
              "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": 67.4,
              "estimated_amount": 3707.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3025.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4675.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5247.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5308.47
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4675.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5308.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5253.46
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1705.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1705.31
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5225.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4675.85
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1870.34
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5280.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5253.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5501,
              "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": 5501,
              "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": 5501,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1705.31
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5225.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5379.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3025.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5225.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1705.31
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5280.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5247.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5247.95
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1705.31
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5225.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5253.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5225.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4675.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5379.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3025.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5225.95
            },
            {
              "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": 95.4,
              "estimated_amount": 5247.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5247.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5308.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5501,
              "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": 5501,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5280.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5379.98
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1705.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5247.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5501,
              "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": 5501,
              "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": 96,
              "estimated_amount": 5280.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5247.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3025.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3025.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5501,
              "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": 5501,
              "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": 5501,
              "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": 5501,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1705.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1870.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5247.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5225.95
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4675.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5225.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5225.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1870.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5247.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5247.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5247.95
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1705.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5253.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5308.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5253.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5253.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5253.46
            },
            {
              "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": 5501,
              "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": 3025.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5225.95
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1705.31
            },
            {
              "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": 3575.65
            }
          ]
        }
      ]
    },
    {
      "description": "\"Silicone Dressing With Border Proximel 5\"\" X 5\"\" Foam\"",
      "code_information": [
        {
          "code": "PX-CHEV14300000",
          "type": "CDM"
        },
        {
          "code": "A6212",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.7,
          "discounted_cash": 2.4,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.53
            },
            {
              "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": 95.4,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.7,
              "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": 3.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.7,
              "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": 96,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.15,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.7,
              "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": 3.7,
              "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": 3.7,
              "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": 96,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.52
            },
            {
              "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": 3.7,
              "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": 95.4,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.7,
              "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": 2.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.7,
              "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": 95.4,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.55
            },
            {
              "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": 3.7,
              "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": 3.26
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.7,
              "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": 2.04
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.7,
              "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": 3.7,
              "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": 3.7,
              "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": 3.7,
              "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": 95.4,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.15,
              "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": 95.5,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.7,
              "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": 3.7,
              "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": 3.7,
              "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": 3.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.7,
              "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": 3.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.7,
              "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": 95.4,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.15,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.62
            },
            {
              "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": 2.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.52
            }
          ]
        }
      ]
    },
    {
      "description": "Barrier Paste Adapt .5 Oz",
      "code_information": [
        {
          "code": "PX-CHHO79301",
          "type": "CDM"
        },
        {
          "code": "A4406",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.48,
          "discounted_cash": 0.31,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.48,
              "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": 0.48,
              "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": 0.41
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.48,
              "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": 0.48,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.15,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.48,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 0.48,
              "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": 95,
              "estimated_amount": 0.46
            },
            {
              "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": 0.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.15,
              "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": 0.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.46
            },
            {
              "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": 0.48,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.48,
              "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": 0.48,
              "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": 0.48,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.48,
              "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": 0.48,
              "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": 96,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 0.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.15,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "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": 0.48,
              "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": 0.48,
              "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": 0.48,
              "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": 95.4,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "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": 97.8,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.48,
              "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": 0.48,
              "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": 0.48,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.48,
              "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": 95.5,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.42
            },
            {
              "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": 0.26
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.41
            }
          ]
        }
      ]
    },
    {
      "description": "Transfuse Blood Products Level II",
      "code_information": [
        {
          "code": "PX-39100003",
          "type": "CDM"
        },
        {
          "code": "36430",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1331,
          "discounted_cash": 865.15,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1277.76
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 412.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1271.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1331,
              "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": 732.05
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 412.61
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 412.61
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 412.61,
              "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": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1271.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1284.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1284.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1271.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1271.11
            },
            {
              "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": 1171.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1264.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 412.61
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 452.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1271.11
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1277.76
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1264.45
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1264.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 452.54
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 452.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1284.42
            },
            {
              "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": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 897.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1301.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1264.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1264.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 452.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1264.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1264.45
            },
            {
              "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/GOLDEN RULE [625270]",
              "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": "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": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1271.11
            },
            {
              "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": "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": "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 CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1331,
              "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": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "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": 1331,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 412.61,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 412.61
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 412.61,
              "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": 96,
              "estimated_amount": 1277.76
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1277.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1284.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1284.42
            },
            {
              "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 412.61
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1264.45
            },
            {
              "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": 865.15
            },
            {
              "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": 1331,
              "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": 1331,
              "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": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1271.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1271.11
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 412.61
            },
            {
              "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": 1331,
              "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": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1284.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1271.11
            },
            {
              "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 AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 412.61
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 452.54
            },
            {
              "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": 1331,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "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": "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 412.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1301.72
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 732.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1284.42
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1277.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1269.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1271.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 412.61
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1264.45
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1264.45
            },
            {
              "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": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1131.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1264.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1264.45
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1277.76
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1277.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1301.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1301.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1264.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1264.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1131.35
            }
          ]
        }
      ]
    },
    {
      "description": "Straight Cath Kit 14 Fr Urethral Vinyl",
      "code_information": [
        {
          "code": "PX-CHKN75000",
          "type": "CDM"
        },
        {
          "code": "A4353",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.28,
          "discounted_cash": 2.13,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.12
            },
            {
              "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": 3.28,
              "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": 2.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.28,
              "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": 3.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 2.89
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 2.79
            },
            {
              "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": 1.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.02,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.17
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.28,
              "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": 3.28,
              "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": 3.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.17
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.02,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.17
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "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": 95.4,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 96.5,
              "estimated_amount": 3.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.28,
              "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": 95,
              "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": 95,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.28,
              "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": 95,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.28,
              "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": 3.28,
              "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": 3.28,
              "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": 95.5,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 1.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.02,
              "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": 96,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.28,
              "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": 3.28,
              "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": 3.28,
              "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": 3.28,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.28,
              "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": 3.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 2.79
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3.28,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.12
            }
          ]
        }
      ]
    },
    {
      "description": "Flexal Nitrile Exam Gloves Cardinal Powder Free Medium",
      "code_information": [
        {
          "code": "PX-CHA188RT100M",
          "type": "CDM"
        },
        {
          "code": "A4927",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.06,
          "discounted_cash": 0.04,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.06,
              "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": 0.06,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 0.06,
              "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": 0.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "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": 95.5,
              "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": 0.06,
              "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": 0.06,
              "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": 0.06,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 0.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.06
            },
            {
              "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": 0.06,
              "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": 0.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "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": 96.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.06,
              "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": 0.06,
              "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": 0.06,
              "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": 0.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 97.8,
              "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": 0.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "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": 0.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "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": 0.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "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": 95,
              "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": 0.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.06,
              "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": 96,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.06,
              "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": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 0.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "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": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "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": 0.06,
              "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": 0.06,
              "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": 97.8,
              "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": 0.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.06,
              "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": 95,
              "estimated_amount": 0.06
            }
          ]
        }
      ]
    },
    {
      "description": "\"2 Pc Kit New Image Drainable Ctf 2 1-4\"\" Stoma 2 3-4\"\" Flange\"",
      "code_information": [
        {
          "code": "PX-CHHO19054",
          "type": "CDM"
        },
        {
          "code": "A4421",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.74,
          "discounted_cash": 1.13,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.74,
              "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": 1.74,
              "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": 95,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "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": 95.5,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.59
            },
            {
              "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": 1.74,
              "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": 1.74,
              "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": 96,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.74,
              "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": 95.4,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.74,
              "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": 1.74,
              "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": 95,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 0.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 1.48
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.74,
              "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": 1.74,
              "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": 96,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.74,
              "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": 1.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 1.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.74,
              "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": 1.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 1.53
            },
            {
              "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": 0.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.74,
              "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": 1.74,
              "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": 97.8,
              "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": 0.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.67
            },
            {
              "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": 1.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "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": 95,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.66
            },
            {
              "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": 95.4,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.59
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 16.33,
          "discounted_cash": 10.61,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15.68
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.51
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.88
            },
            {
              "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": 10.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 15.51
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.33,
              "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": 95,
              "estimated_amount": 15.51
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.51
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.33,
              "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": 16.33,
              "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": 13.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.58
            },
            {
              "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": 95.4,
              "estimated_amount": 15.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.33,
              "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": 95,
              "estimated_amount": 15.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15.97
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 13.88
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.58
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 11.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.33,
              "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": 16.33,
              "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": 16.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 96,
              "estimated_amount": 15.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.33,
              "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": 16.33,
              "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": 16.33,
              "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": 95,
              "estimated_amount": 15.51
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.33,
              "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": 16.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.33,
              "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": 16.33,
              "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": 16.33,
              "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": 8.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.6
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.58
            },
            {
              "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": 16.33,
              "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": 16.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.06
            },
            {
              "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": 14.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.98
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.51
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15.68
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.58
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 16.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.51
            }
          ]
        }
      ]
    },
    {
      "description": "\"Endoform Matrix Drsg Collagen 4\"\" X 5\"\" Fenestrate\"",
      "code_information": [
        {
          "code": "PX-CHHO529314",
          "type": "CDM"
        },
        {
          "code": "A6022",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 48.41,
          "discounted_cash": 31.47,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 46.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 46.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 46.23
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 46.47
            },
            {
              "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": 48.41,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 15.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 26.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45.99
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 15.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 46.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 26.63
            },
            {
              "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": 26.63
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 46.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 46.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 46.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 46.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 48.41,
              "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": 48.41,
              "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": 48.41,
              "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": 42.6
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 46.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 48.41,
              "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": 48.41,
              "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": 96,
              "estimated_amount": 46.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 47.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 26.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45.99
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 15.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 46.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 46.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 46.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 46.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 48.41,
              "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": 48.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 16.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 46.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 46.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 46.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 46.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 15.01
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 16.46
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 41.15
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 46.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 48.41
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45.99
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 15.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 46.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 48.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 46.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 47.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45.99
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 41.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 46.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 48.41,
              "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": 48.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 15.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 46.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 46.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 48.41,
              "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": 48.41,
              "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": 95,
              "estimated_amount": 45.99
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 47.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45.99
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 16.46
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 15.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 47.34
            },
            {
              "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": 48.41,
              "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": 41.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 46.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 46.23
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45.99
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 15.01
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 46.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 46.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 46.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 48.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 15.01,
              "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": 95,
              "estimated_amount": 45.99
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 41.15
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 48.41,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45.99
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 16.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 26.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 26.63
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 45.99
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 15.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 46.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 46.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 46.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 46.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 46.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 48.41,
              "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": 48.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 15.01
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 46.47
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 41.15
            },
            {
              "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": 95.4,
              "estimated_amount": 46.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 46.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 46.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 46.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 46.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 48.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 15.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 26.63
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 46.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 48.41,
              "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.",
              "standard_charge_percentage": 31,
              "estimated_amount": 15.01,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "\"Super Absorbent Wound Dressing 4\"\" X 8\"\"\"",
      "code_information": [
        {
          "code": "PX-CH24502",
          "type": "CDM"
        },
        {
          "code": "A6197",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.17,
          "discounted_cash": 2.71,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.17,
              "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": 96.5,
              "estimated_amount": 4.02
            },
            {
              "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": 4.17,
              "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": 96,
              "estimated_amount": 4
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.96
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 4.17,
              "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": 96,
              "estimated_amount": 4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.29
            },
            {
              "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": 2.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.96
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 3.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 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": 4.17,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.02
            },
            {
              "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": 95.4,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.17,
              "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": 4.17,
              "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": 4.17,
              "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": 4.17,
              "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": 95.5,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.17,
              "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": 97.8,
              "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": 2.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 95,
              "estimated_amount": 3.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.29,
              "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": 95.4,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.17,
              "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": 96,
              "estimated_amount": 4
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.29,
              "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": 3.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.17,
              "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": 4.17,
              "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": 3.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.17,
              "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": 4.17,
              "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": 4.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 4.17,
              "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": 95,
              "estimated_amount": 3.96
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 97.8,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.96
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.29,
              "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": 95,
              "estimated_amount": 3.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.17,
              "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": 95,
              "estimated_amount": 3.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.17,
              "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": 4.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 3.96
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4
            }
          ]
        }
      ]
    },
    {
      "description": "Arrhythmia Analysis Simulation Report",
      "code_information": [
        {
          "code": "PX-73000003",
          "type": "CDM"
        },
        {
          "code": "0897T",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3764,
          "discounted_cash": 2446.6,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3632.26
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 2536.94
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3613.44
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3575.8
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1279.76
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1166.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3613.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3681.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3199.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3575.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3575.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1166.84
            },
            {
              "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": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3632.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3594.62
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3199.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3560.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3560.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3560.74
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3613.44
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3199.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3575.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3632.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3594.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3560.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2070.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3575.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1166.84
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1279.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3560.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3632.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3632.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3560.74
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1279.76
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1279.76
            },
            {
              "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": 2446.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2070.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2070.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2070.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3613.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3632.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3560.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3681.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3199.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3594.62
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3613.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3594.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3560.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3560.74
            },
            {
              "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": 3312.32
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3575.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3575.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3575.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3199.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2070.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3594.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3594.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3560.74
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1166.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3575.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1166.84
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3613.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3594.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3560.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3560.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3560.74
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1166.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3681.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3594.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3560.74
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1166.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3632.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3560.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3560.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3560.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3681.19
            },
            {
              "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": 2070.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3764
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3575.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3575.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3594.62
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3613.44
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1166.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3575.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2070.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3575.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1279.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3590.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3594.62
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1166.84
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3575.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1166.84
            }
          ]
        }
      ]
    },
    {
      "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": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.78
            },
            {
              "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": "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": "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": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.78
            },
            {
              "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": "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 NAVIGATE [625280]",
              "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 2.18
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.76
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.78
            },
            {
              "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/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": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.78
            },
            {
              "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.18
            },
            {
              "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": 2.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.78
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.37
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 3.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.76
            },
            {
              "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.96,
              "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": 95,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.8
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.23
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 2.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.82
            },
            {
              "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": "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 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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.78
            },
            {
              "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": 95.4,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.78
            },
            {
              "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": 3.96,
              "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": 67.4,
              "estimated_amount": 2.67
            },
            {
              "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": 2.57
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.8
            }
          ]
        }
      ]
    },
    {
      "description": "Ensure Clear Therapeutic Apple 8 Oz Inst Carton",
      "code_information": [
        {
          "code": "PX-CH5264903",
          "type": "CDM"
        },
        {
          "code": "B4102",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.37,
          "discounted_cash": 0.89,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.32
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 96,
              "estimated_amount": 1.32
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.75
            },
            {
              "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": 0.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.31
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.31
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.42
            },
            {
              "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": "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": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.3
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.32
            },
            {
              "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 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": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.32
            },
            {
              "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": "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 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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.16
            },
            {
              "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": 1.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.3
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 1.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 1.37,
              "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": 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": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 1.32
            },
            {
              "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": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 0.92
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.32
            },
            {
              "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 NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.37,
              "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": 95,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.3
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 97.8,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 1.37,
              "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": 95,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.31
            },
            {
              "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": "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.3
            }
          ]
        }
      ]
    },
    {
      "description": "\"Gauze Sponge Non-Sterile 4 Ply 3\"\" X 3\"\" Versalon Non Woven\"",
      "code_information": [
        {
          "code": "PX-CHKN9023",
          "type": "CDM"
        },
        {
          "code": "A6402",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.02,
          "discounted_cash": 0.01,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.02,
              "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": 0.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 0.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.02,
              "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": 0.02,
              "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": 0.02,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.02,
              "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": 97.8,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.02,
              "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": 0.02,
              "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": 0.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.02,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.02,
              "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": 0.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.02,
              "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": 95,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.02,
              "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": 0.02,
              "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": 95.5,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.02,
              "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": 0.02,
              "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": 0.02,
              "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": 95,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.02,
              "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": 96,
              "estimated_amount": 0.02
            },
            {
              "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": 0.02
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.02
            },
            {
              "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": 0.02,
              "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": 0.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.01
            },
            {
              "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": 0.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.02,
              "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": 95.4,
              "estimated_amount": 0.02
            },
            {
              "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": 95.4,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 96,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.01
            }
          ]
        }
      ]
    },
    {
      "description": "Hspc Room and Bed Astoria Place",
      "code_information": [
        {
          "code": "PX-65900178",
          "type": "CDM"
        },
        {
          "code": "T2046",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 307.62,
          "discounted_cash": 199.95,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 293.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 293.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 293.47
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 295.32
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 295.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 169.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 169.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 261.48
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 100.13,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 293.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 293.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 293.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 169.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 95.36
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 95.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 300.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 169.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 292.24
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 292.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 261.48
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 100.13,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 104.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 293.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 293.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 293.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 296.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 307.62,
              "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": 307.62,
              "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": 307.62,
              "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": 261.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 293.47
            },
            {
              "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": 270.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 307.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 95.36
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 292.24
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 292.24
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 292.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 169.19
            },
            {
              "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": 169.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 169.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 292.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 293.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 293.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 307.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 95.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 296.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 293.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 293.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 293.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 307.62,
              "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": 95,
              "estimated_amount": 292.24
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 261.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 300.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 307.62
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 295.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 292.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 261.48
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 104.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 293.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 292.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 292.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 293.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 293.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 293.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 296.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 293.78
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 295.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 307.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 95.36
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 95.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 300.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 293.47
            },
            {
              "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": 307.62,
              "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": 307.62,
              "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": 307.62,
              "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": 96.5,
              "estimated_amount": 296.85
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 95.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 295.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 296.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 307.62,
              "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": 307.62,
              "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": 95,
              "estimated_amount": 292.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 104.59
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 104.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 293.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 293.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 296.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 296.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 293.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 307.62,
              "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": 307.62,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 96.32,
              "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": 97.8,
              "estimated_amount": 300.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 292.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 95.36
            },
            {
              "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": 95.4,
              "estimated_amount": 293.47
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 95.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 293.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 307.62,
              "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": 96,
              "estimated_amount": 295.32
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 307.62,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 95.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 293.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 292.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 292.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 104.59
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 295.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 293.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 307.62,
              "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": 307.62,
              "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": 307.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "Hspc Room and Bed Legacy Dublin",
      "code_information": [
        {
          "code": "PX-65900180",
          "type": "CDM"
        },
        {
          "code": "T2046",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 268.35,
          "discounted_cash": 174.43,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 256.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 256.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 256.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 268.35,
              "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": 268.35,
              "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": 96,
              "estimated_amount": 257.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 262.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 262.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 147.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 83.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 256.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 258.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 268.35,
              "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": 268.35,
              "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": 268.35,
              "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": 268.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 83.19
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 268.35,
              "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": 147.59
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 254.93
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 228.1
            },
            {
              "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": 268.35,
              "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": 268.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 83.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 256.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 256.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 147.59
            },
            {
              "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": 147.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 254.93
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 83.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 254.93
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 91.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 256.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 268.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 83.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 254.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 254.93
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 228.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 91.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 256.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 256.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 256.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 268.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 83.19
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 254.93
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 254.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 254.93
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 83.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 228.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 87.35,
              "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": 97.8,
              "estimated_amount": 262.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 254.93
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 257.62
            },
            {
              "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": 95.4,
              "estimated_amount": 256.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 256.27
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 268.35,
              "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": 268.35,
              "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": 268.35,
              "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": 96,
              "estimated_amount": 257.62
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 84.02,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 254.93
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 228.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 258.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 258.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 258.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 256.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 268.35,
              "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": 96,
              "estimated_amount": 257.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 147.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 83.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 254.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 258.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 262.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 147.59
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 91.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 256.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 256.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 256.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 258.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 256.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 268.35,
              "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": 268.35,
              "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": 268.35,
              "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": 95.5,
              "estimated_amount": 256.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 256.27
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 254.93
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 228.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 254.93
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 91.24
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 83.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 256.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 256.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 258.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 268.35,
              "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": 236.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 91.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 254.93
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 87.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 256.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 256.27
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 257.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 256.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 256.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 147.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 83.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 256.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 256.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 256.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 268.35
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 257.62
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 257.62
            }
          ]
        }
      ]
    },
    {
      "description": "HC Infectious Agent Det Amp Probe Panel",
      "code_information": [
        {
          "code": "PX-30600302",
          "type": "CDM"
        },
        {
          "code": "87798",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 111,
          "discounted_cash": 72.15,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 37.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 107.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 107.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "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": 111,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "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": 61.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 94.35
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 107.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41,
              "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": 111,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 107.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 108.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 37.74
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41,
              "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": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 61.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 37.74
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "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": 72.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 111,
              "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": 111,
              "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": 111
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 74.81
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 108.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "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": 111,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 34.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 107.12
            },
            {
              "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": 97.68
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "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": 111,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 107.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 108.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 37.74
            },
            {
              "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": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 107.12
            },
            {
              "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": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 108.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 105.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 106.56
            }
          ]
        }
      ]
    },
    {
      "description": "HC Ide G150121 Pro 1161749 Surveilsurmodics",
      "code_information": [
        {
          "code": "PX-62400141",
          "type": "CDM"
        },
        {
          "code": "C1889",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1,
          "discounted_cash": 0.65,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "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 GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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": 0.88
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.55
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "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": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "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/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 MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "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 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": "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": "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 0.95
            },
            {
              "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": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "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": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "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": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.55
            },
            {
              "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 MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "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": 96,
              "estimated_amount": 0.96
            },
            {
              "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": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "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": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31,
              "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": 0.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "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": 97.8,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "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": 0.65
            },
            {
              "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": 1,
              "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": 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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "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": 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": "MOLINA 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": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "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": 96,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "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 OPTIONS [625335]",
              "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": "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": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.96
            }
          ]
        }
      ]
    },
    {
      "description": "Kit Gene Analys D816 Variant Sendout",
      "code_information": [
        {
          "code": "PX-30101135",
          "type": "CDM"
        },
        {
          "code": "81273",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1684,
          "discounted_cash": 1094.6,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1606.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1608.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 468.26,
              "estimated_amount": 468.26
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1431.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1646.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1684
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 522.04
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 522.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1625.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 468.26,
              "estimated_amount": 468.26
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1431.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1599.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1599.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1599.8
            },
            {
              "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": 95.4,
              "estimated_amount": 1606.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1608.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 468.26,
              "estimated_amount": 468.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1606.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1606.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1625.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 468.26,
              "estimated_amount": 468.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 468.26,
              "estimated_amount": 468.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 468.26,
              "estimated_amount": 468.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1646.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 926.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 926.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1599.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1599.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 572.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 572.56
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 522.04
            },
            {
              "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": 1684,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1606.54
            },
            {
              "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": 926.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 926.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1599.8
            },
            {
              "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": 1481.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1606.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1606.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1608.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 468.26,
              "estimated_amount": 468.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 468.26,
              "estimated_amount": 468.26
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1616.64
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1684,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 522.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 926.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1599.8
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 522.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1606.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1608.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 468.26,
              "estimated_amount": 468.26
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 522.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1616.64
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 522.04
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 522.04
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 572.56
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 572.56
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1616.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1606.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1606.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1606.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1625.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1606.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1606.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1625.06
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 522.04,
              "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": 926.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1431.4
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1684,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 572.56
            },
            {
              "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": 1094.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1606.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1599.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1431.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1625.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1608.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 468.26,
              "estimated_amount": 468.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 468.26,
              "estimated_amount": 468.26
            },
            {
              "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": 1684,
              "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": 97.8,
              "estimated_amount": 1646.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1608.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1608.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 468.26,
              "estimated_amount": 468.26
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 1135.02
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1599.8
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1599.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1606.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1606.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1625.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1608.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 468.26,
              "estimated_amount": 468.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 468.26,
              "estimated_amount": 468.26
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 522.04
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 522.04
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1616.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1646.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1599.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1616.64
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1431.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1608.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 468.26,
              "estimated_amount": 468.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 468.26,
              "estimated_amount": 468.26
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 522.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1616.64
            },
            {
              "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": 1684,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1599.8
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1599.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 926.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1599.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1431.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 522.04
            },
            {
              "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": 1684,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1606.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1606.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1625.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1608.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 468.26,
              "estimated_amount": 468.26
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1616.64
            }
          ],
          "minimum": 468.26,
          "maximum": 468.26
        }
      ]
    },
    {
      "description": "Ide G160039 Pro 1165489 Tavr 2.0",
      "code_information": [
        {
          "code": "PX-62400159",
          "type": "CDM"
        },
        {
          "code": "L8699",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 33000,
          "discounted_cash": 21450,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31482
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31482
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31482
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31482
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10230
            },
            {
              "payer_name": "BUCKEYE COMMUNITY 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": "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 MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 11220
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 11220
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 31350
            },
            {
              "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": "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": "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18150
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 31350
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 31680
            },
            {
              "payer_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": "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": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31482
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 31845
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 31845
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 31680
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31482
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31515
            },
            {
              "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10230
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 31350
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28050
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 31680
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 32274
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 31350
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31482
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31482
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 31845
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 22242
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 31680
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 31350
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 11220
            },
            {
              "payer_name": "UHC 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": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31482
            },
            {
              "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": "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": "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": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31482
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31482
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10230
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 32274
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10230
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 11220
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31482
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 31845
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 32274
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 10230,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31482
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31515
            },
            {
              "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": "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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 31350
            },
            {
              "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": "HUMANA [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": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 33000,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "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": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 11220
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31515
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31515
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31515
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 31350
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 32274
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 31350
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10230
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 10230,
              "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": 96,
              "estimated_amount": 31680
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31515
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31515
            },
            {
              "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 OXFORD [625260]",
              "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 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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10230
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 31680
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10230
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10230
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10230
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31482
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31482
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 31845
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 31845
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31515
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31515
            },
            {
              "payer_name": "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": "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": "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": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 10230,
              "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": 28050
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 31350
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 31350
            },
            {
              "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 [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31482
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 31845
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 31515
            },
            {
              "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": "MOLINA 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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 31350
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31482
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 31482
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 31680
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 31350
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 31350
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 31350
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10230
            }
          ]
        }
      ]
    },
    {
      "description": "HC Obstructive Material Removal From GI Tube",
      "code_information": [
        {
          "code": "PX-36100829",
          "type": "CDM"
        },
        {
          "code": "49460",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5050,
          "discounted_cash": 3282.5,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4817.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4873.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5050,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1565.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1565.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4292.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4848
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4938.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1717
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4292.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1717
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5050,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1565.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4817.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4822.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5050,
              "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": 96,
              "estimated_amount": 4848
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4938.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4797.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4797.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1565.5
            },
            {
              "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": 3282.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2777.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2777.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2777.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2777.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4797.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4873.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4873.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4822.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4817.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4817.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4817.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4822.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4822.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5050,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4873.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5050,
              "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": 4292.5
            },
            {
              "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": 2777.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4797.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4797.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4817.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4817.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5050,
              "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": 5050,
              "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": 95,
              "estimated_amount": 4797.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4938.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1717
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1717
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4822.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4822.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4817.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4817.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4822.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4848
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4444
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1565.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4797.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4797.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4817.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4817.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4873.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4873.25
            },
            {
              "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": 5050,
              "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": 5050,
              "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": 5050,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1565.5
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4797.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2777.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4797.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4797.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1717
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4848
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4817.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4817.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4817.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4822.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5050,
              "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": 95,
              "estimated_amount": 4797.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4817.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4817.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4817.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4822.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5050,
              "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": 5050,
              "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": 5050,
              "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": 5050,
              "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": 5050,
              "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": 96,
              "estimated_amount": 4848
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4292.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1565.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4797.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4292.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1565.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4817.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5050,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1565.5
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4797.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4873.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4822.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5050,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4938.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2777.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1565.5
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 3403.7
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4848
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4848
            }
          ]
        }
      ]
    },
    {
      "description": "Analgesics Non-Opiod; 1-2 So",
      "code_information": [
        {
          "code": "PX-30101148",
          "type": "CDM"
        },
        {
          "code": "80329",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 21,
          "discounted_cash": 13.65,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "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": 95,
              "estimated_amount": 19.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7.14
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.51
            },
            {
              "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": 13.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20.03
            },
            {
              "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 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 MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.51
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20.06
            },
            {
              "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": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 20.16
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 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 MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.51
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7.14
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "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": 96,
              "estimated_amount": 20.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.95
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20.27
            },
            {
              "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 MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.51
            },
            {
              "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": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20.06
            },
            {
              "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": 67.4,
              "estimated_amount": 14.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20.03
            },
            {
              "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": 21,
              "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": 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": 21
            },
            {
              "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": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.95
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 20.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20.03
            },
            {
              "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 GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "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": 96,
              "estimated_amount": 20.16
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95.4,
              "estimated_amount": 20.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20.06
            },
            {
              "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 TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20.27
            },
            {
              "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": "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": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7.14
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 20.16
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20.27
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 20.16
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.95
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7.14
            },
            {
              "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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 20.03
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20.06
            },
            {
              "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": 18.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 20.27
            },
            {
              "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 MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.51
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.51
            },
            {
              "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": 95.4,
              "estimated_amount": 20.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20.06
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 20.16
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 20.06
            },
            {
              "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 MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.51
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.51
            }
          ]
        }
      ]
    },
    {
      "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 212.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 212.54
            },
            {
              "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": "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": "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": "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 122.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 68.99
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 213.65
            },
            {
              "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 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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 68.99
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 222.55,
              "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": 222.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 212.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 214.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 214.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 212.54
            },
            {
              "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": 222.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 212.31
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 68.99
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 213.65
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 213.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 217.65
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 68.99
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 217.65
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 189.17
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 213.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 213.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 214.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 212.54
            },
            {
              "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 OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222.55,
              "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": 95,
              "estimated_amount": 211.42
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 75.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 212.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 212.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 212.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 212.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 212.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 211.42
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 75.67
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 211.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 217.65
            },
            {
              "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": 122.4
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 75.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 212.31
            },
            {
              "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": 95.4,
              "estimated_amount": 212.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 214.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 213.65
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 211.42
            },
            {
              "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": "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 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": "BUCKEYE COMMUNITY 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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 211.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 212.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 212.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 214.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 212.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 212.54
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 217.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 211.42
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 211.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 68.99
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.44,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 211.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 211.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 212.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 214.76
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 68.99
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 68.99
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 122.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 212.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 212.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 212.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 212.54
            },
            {
              "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 211.42
            },
            {
              "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": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 211.42
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.44,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 75.67
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 68.99
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 122.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 211.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 211.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 68.99
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 75.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 213.65
            },
            {
              "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": 195.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 212.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 212.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 214.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 212.54
            },
            {
              "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": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 69.68,
              "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": 189.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 211.42
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 212.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 212.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 68.99
            }
          ]
        }
      ]
    },
    {
      "description": "Hspc Room and Bed Cherith Care Center Willow Brook",
      "code_information": [
        {
          "code": "PX-65900196",
          "type": "CDM"
        },
        {
          "code": "T2046",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 247.14,
          "discounted_cash": 160.64,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 235.77
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 76.61
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 76.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 241.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 234.78
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 76.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 235.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 247.14,
              "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": 247.14,
              "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": 247.14,
              "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": 247.14,
              "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": 96,
              "estimated_amount": 237.25
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 234.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 135.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 234.78
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 210.07
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 80.44,
              "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": 95,
              "estimated_amount": 234.78
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 84.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 236.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 247.14,
              "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": 247.14,
              "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": 95.4,
              "estimated_amount": 235.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 236.02
            },
            {
              "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": 247.14,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 234.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 234.78
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 84.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 235.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 235.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 238.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 247.14,
              "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": 95,
              "estimated_amount": 234.78
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 234.78
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 210.07
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 76.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 235.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 247.14,
              "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": 247.14,
              "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": 247.14,
              "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": 95.4,
              "estimated_amount": 235.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 235.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 247.14,
              "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": 97.8,
              "estimated_amount": 241.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 135.93
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 84.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 135.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 234.78
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 84.03
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 234.78
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 237.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 238.49
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 76.61
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 237.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 237.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 235.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 235.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 235.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 235.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 235.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 238.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 236.02
            },
            {
              "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": 95.4,
              "estimated_amount": 235.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 236.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 247.14,
              "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": 247.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 135.93
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 210.07
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 80.44,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 238.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 234.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 236.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 236.02
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 247.14,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 234.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 235.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 235.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 135.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 238.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 236.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 247.14,
              "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": 247.14,
              "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": 95,
              "estimated_amount": 234.78
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 76.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 235.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 238.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 236.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 236.02
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 76.61
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 237.25
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 237.25
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 210.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 241.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 135.93
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 76.61
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 84.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 241.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 234.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 238.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 247.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 76.61
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 237.25
            },
            {
              "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": 217.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 235.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 236.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 247.14,
              "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": 247.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 77.38,
              "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": 135.93
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 210.07
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 76.61
            }
          ]
        }
      ]
    },
    {
      "description": "HC Mind/Body Therapy Integrative Care",
      "code_information": [
        {
          "code": "PX-94000006",
          "type": "CDM"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 45,
          "discounted_cash": 45,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 43.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 43.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 43.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.95
            },
            {
              "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": 39.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15.3
            },
            {
              "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": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 43.43
            },
            {
              "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": 24.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 43.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 43.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.95
            },
            {
              "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": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 43.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 44.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 44.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 44.01
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 43.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 43.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 44.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 43.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 43.2
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 43.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 30.33
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 43.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "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": "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 PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 43.2
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "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": 29.25
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "AETNA [310]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 38.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 24.75
            }
          ]
        }
      ]
    },
    {
      "description": "HC Acupuncture Integrative Care",
      "code_information": [
        {
          "code": "PX-94000007",
          "type": "CDM"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 45,
          "discounted_cash": 45,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
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              "standard_charge_percentage": 96.5,
              "estimated_amount": 43.43
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15.3
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
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              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
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              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
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              "standard_charge_percentage": 97.8,
              "estimated_amount": 44.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 44.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
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              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
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              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "AHPO [305]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
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              "standard_charge_percentage": 31,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
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              "standard_charge_percentage": 67.4,
              "estimated_amount": 30.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 43.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 43.2
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
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              "standard_charge_percentage": 31,
              "estimated_amount": 13.95
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 43.2
            },
            {
              "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": 29.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 43.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 43.2
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.95
            },
            {
              "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": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 43.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "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": 39.6
            },
            {
              "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": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 43.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15.3
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 43.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 43.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 43.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 44.01
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 43.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 44.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 43.2
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "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": 96,
              "estimated_amount": 43.2
            }
          ]
        }
      ]
    },
    {
      "description": "HC Nutrition Consult Integrative Care",
      "code_information": [
        {
          "code": "PX-94000009",
          "type": "CDM"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 45,
          "discounted_cash": 29.25,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
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              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 43.2
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "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 OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.95
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 43.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 43.2
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 43.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
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              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.98
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 44.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
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              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "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": 24.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 43.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 43.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 30.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 43.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 97.8,
              "estimated_amount": 44.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 43.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15.3
            },
            {
              "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": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "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": 39.6
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38.25
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "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": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.98
            },
            {
              "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": 29.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 43.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 43.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 43.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 42.57
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 43.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 44.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 42.75
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 43.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 43.43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 44.01
            }
          ]
        }
      ]
    },
    {
      "description": "Ide G130221 Pro Ohi-15-00603 Crest 2 Moma Ultra Filter",
      "code_information": [
        {
          "code": "PX-62400168",
          "type": "CDM"
        },
        {
          "code": "C1884",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1495,
          "discounted_cash": 971.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1427.73
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 1007.63
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1435.2
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1420.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 822.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1420.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1270.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 463.45
            },
            {
              "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": 1495,
              "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": 1495,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1427.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1427.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1495,
              "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": 1315.6
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1420.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1420.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1420.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1420.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 463.45
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 463.45,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 508.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1427.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1495,
              "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": 96,
              "estimated_amount": 1435.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1442.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1442.68
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1420.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1420.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 822.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1442.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1427.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1495,
              "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": 1495,
              "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": 95,
              "estimated_amount": 1420.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1495
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 463.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1270.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1435.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1427.73
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 463.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1435.2
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1495,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1442.68
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 463.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1420.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1420.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 463.45
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 463.45,
              "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": 1495,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1442.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1495,
              "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": 1495,
              "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": 1495,
              "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": 97.8,
              "estimated_amount": 1462.11
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 508.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1495,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 463.45
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1435.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1442.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1442.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1427.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1427.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1495,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 463.45,
              "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": 822.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 822.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1420.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1420.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1462.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 822.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1495,
              "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": 822.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1420.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1435.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1495,
              "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": 1495,
              "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": 1495,
              "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": 1270.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "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": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1462.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1462.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1495,
              "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": 1495,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 463.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 508.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 463.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1495,
              "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": 1495,
              "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": 1270.75
            },
            {
              "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": 971.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1435.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 822.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 508.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1270.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1427.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1427.73
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 463.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1495,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 508.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1426.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1495,
              "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": 1270.75
            }
          ]
        }
      ]
    },
    {
      "description": "Tape Plastic Transpore 1 in X 10 Yds",
      "code_information": [
        {
          "code": "PX-CH-3M1527-1",
          "type": "CDM"
        },
        {
          "code": "A4452",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.13,
          "discounted_cash": 0.73,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "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": 1.13,
              "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": 1.13,
              "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": 95,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.13,
              "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": 1.13,
              "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": 95.4,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.08
            },
            {
              "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": 0.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.13,
              "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": 1.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 96.5,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.13,
              "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": 0.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.13,
              "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": 1.13,
              "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": 96,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95.4,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.09
            },
            {
              "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": 0.99
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.13,
              "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": 1.13,
              "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": 95,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.08
            },
            {
              "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": 1.13,
              "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": 0.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.07
            },
            {
              "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": 1.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.13,
              "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": 95,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.08
            },
            {
              "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": 95.4,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 1.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.13,
              "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": 97.8,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 1.13,
              "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": 96,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.13,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 1.13,
              "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": 1.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.38
            }
          ]
        }
      ]
    },
    {
      "description": "\"Wrap Conforming Bandage Roll 3-1/9\"\" X 5-1/2 Yds Latex Free\"",
      "code_information": [
        {
          "code": "PX-CH-BI01027000",
          "type": "CDM"
        },
        {
          "code": "A6448",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 19.19,
          "discounted_cash": 12.47,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 18.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 18.42
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.31
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.95,
              "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": 95,
              "estimated_amount": 18.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 18.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 18.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 18.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 18.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19.19,
              "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": 96,
              "estimated_amount": 18.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18.23
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 18.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19.19,
              "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": 10.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18.23
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18.23
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 18.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19.19,
              "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": 19.19,
              "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": 95.4,
              "estimated_amount": 18.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 18.77
            },
            {
              "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": 95.4,
              "estimated_amount": 18.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19.19,
              "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": 19.19,
              "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": 19.19,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 18.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19.19,
              "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": 19.19,
              "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": 95,
              "estimated_amount": 18.23
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 19.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18.23
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 18.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 18.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 18.33
            },
            {
              "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": 16.89
            },
            {
              "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": 10.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18.23
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 18.52
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 18.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 18.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19.19,
              "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": 19.19,
              "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": 19.19,
              "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": 19.19,
              "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": 19.19,
              "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": 19.19,
              "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": 96,
              "estimated_amount": 18.42
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 18.42
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 18.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19.19,
              "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": 95,
              "estimated_amount": 18.23
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 18.77
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.52
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.95
            },
            {
              "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": 19.19,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 18.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 18.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 18.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 18.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 18.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19.19,
              "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": 19.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 18.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 18.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 18.33
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.52
            }
          ]
        }
      ]
    },
    {
      "description": "1 Pc Ctf Std Wear 3/4 in - 2 1/2 in Active-Life",
      "code_information": [
        {
          "code": "PX-CH-CV0227-71",
          "type": "CDM"
        },
        {
          "code": "A5061",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6.16,
          "discounted_cash": 4,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.88
            },
            {
              "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": 95.4,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.02
            },
            {
              "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": 3.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.91
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.16,
              "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": 6.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.91
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.91
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.91
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.91
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.16,
              "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": 95,
              "estimated_amount": 5.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.91
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.85
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.16,
              "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": 6.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.16,
              "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": 95,
              "estimated_amount": 5.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.16,
              "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": 67.4,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.94
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.16,
              "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": 6.16,
              "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": 6.16,
              "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": 6.16,
              "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": 6.16,
              "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": 5.42
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.24
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.85
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.16,
              "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": 6.16,
              "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": 95,
              "estimated_amount": 5.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.16,
              "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": 3.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.91
            },
            {
              "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": 6.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.09
            },
            {
              "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": 4
            }
          ]
        }
      ]
    },
    {
      "description": "Shampoo/Body Wash 8 Oz Aloe Vesta",
      "code_information": [
        {
          "code": "PX-CH-CV4018-66",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.88,
          "discounted_cash": 2.52,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.88,
              "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": 3.88,
              "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": 2.13
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.88,
              "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": 3.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.7
            },
            {
              "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": 95.4,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 3.88,
              "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": 3.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.88,
              "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": 2.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 96.5,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.88,
              "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": 96.5,
              "estimated_amount": 3.74
            },
            {
              "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": 3.88,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.88,
              "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": 3.88,
              "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": 3.88
            },
            {
              "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": 2.13
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.88,
              "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": 3.88,
              "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": 3.88,
              "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": 95,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.88,
              "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": 96,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.88,
              "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": 95.4,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.88,
              "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": 3.88,
              "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": 2.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 3.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.88,
              "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": 3.88,
              "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": 3.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.88,
              "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": 96,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.2
            }
          ]
        }
      ]
    },
    {
      "description": "Gauze Sponge Non-Sterile Ducare 12-Ply 4 in X 4 In",
      "code_information": [
        {
          "code": "PX-CH-DUM90412",
          "type": "CDM"
        },
        {
          "code": "A6216",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.03,
          "discounted_cash": 0.02,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "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": 0.03,
              "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": 97.8,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.03
            },
            {
              "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": 0.03,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.03,
              "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": 95.4,
              "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": 95.4,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.03,
              "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": 0.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.03,
              "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": 0.03,
              "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": 0.03,
              "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": 96,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.03,
              "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": 0.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "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": 0.03,
              "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": 0.02
            },
            {
              "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": 95.4,
              "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": 0.03,
              "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": 0.03,
              "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": 0.02
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.03,
              "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": 0.03,
              "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": 0.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "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": 95,
              "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": 95,
              "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": 0.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "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": 0.03
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.03,
              "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": 0.03,
              "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": 0.03
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "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": 96,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.03,
              "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": 0.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "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": 96.5,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            }
          ]
        }
      ]
    },
    {
      "description": "Belt Ostomy Medium 26 in - 43 In",
      "code_information": [
        {
          "code": "PX-CH-HO7300",
          "type": "CDM"
        },
        {
          "code": "A4367",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 11.47,
          "discounted_cash": 7.46,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.47,
              "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": 10.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.47,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.47,
              "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": 11.47,
              "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": 95,
              "estimated_amount": 10.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 11.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.31
            },
            {
              "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": 6.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.47,
              "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": 11.47,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.47,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.47,
              "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": 11.47,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 6.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.31
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.9
            },
            {
              "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": 7.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.94
            },
            {
              "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": 95.4,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 11.47,
              "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": 95,
              "estimated_amount": 10.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 97.8,
              "estimated_amount": 11.22
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.47,
              "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": 11.47,
              "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": 11.47,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.01
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.75
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.47,
              "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": 6.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.47,
              "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": 96,
              "estimated_amount": 11.01
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 10.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.47,
              "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": 11.47,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 7.73
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.75
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 10.9
            }
          ]
        }
      ]
    },
    {
      "description": "Moisture Barrier Cream Zinc Cardinal 2oz",
      "code_information": [
        {
          "code": "PX-CH-IMC55CSCCRMBR2",
          "type": "CDM"
        },
        {
          "code": "A6250",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.9,
          "discounted_cash": 2.53,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 3.72
            },
            {
              "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": 3.9,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.9,
              "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": 3.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.32
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 95.5,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.9,
              "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": 96,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.9,
              "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": 3.9,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.72
            },
            {
              "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": 3.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.9,
              "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": 97.8,
              "estimated_amount": 3.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.81
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.32
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.9,
              "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": 3.9,
              "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": 3.9,
              "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": 96,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.9,
              "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": 3.9,
              "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": 3.9,
              "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": 3.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 2.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 2.15
            },
            {
              "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": 2.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.9,
              "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": 96,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.9,
              "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": 3.9,
              "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": 95.4,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.9,
              "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": 3.9,
              "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": 3.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.21
            }
          ]
        }
      ]
    },
    {
      "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": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.61
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.59
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.64
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.59
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 4.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 4.61
            },
            {
              "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": "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.61
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.59
            },
            {
              "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": 3.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 4.59
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.61
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.64
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 4.59
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.61
            },
            {
              "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": "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": "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.59
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.66
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 2.66
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.59
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.66
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.11
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.61
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.64
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.61
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 4.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.59
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.66
            },
            {
              "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": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.59
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.83,
              "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": 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": "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.64
            },
            {
              "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": 95.4,
              "estimated_amount": 4.61
            },
            {
              "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": 4.25
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 4.11
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.5
            }
          ]
        }
      ]
    },
    {
      "description": "Underpad 30 in X 30 In",
      "code_information": [
        {
          "code": "PX-CH-KN948",
          "type": "CDM"
        },
        {
          "code": "T4541",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.68,
          "discounted_cash": 0.44,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.68,
              "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": 95,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.68,
              "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": 0.68,
              "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": 97.8,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.68,
              "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": 97.8,
              "estimated_amount": 0.67
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.58
            },
            {
              "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": 95.4,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.68
            },
            {
              "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": 0.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 96,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "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": 0.68,
              "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": 0.68,
              "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": 96,
              "estimated_amount": 0.65
            },
            {
              "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": 0.6
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.68,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.68,
              "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": 0.68,
              "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": 0.68,
              "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": 95,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.37
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.37
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "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": 95.5,
              "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": 0.68,
              "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": 0.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.68,
              "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": 0.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.21
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 0.54,
          "discounted_cash": 0.35,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.54,
              "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": 0.54,
              "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": 95.4,
              "estimated_amount": 0.52
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "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": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 0.52
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.52
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.54,
              "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": 97.8,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.46
            },
            {
              "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": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.52
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.52
            },
            {
              "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/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": "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 0.46
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 0.54
            },
            {
              "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": 0.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.18
            },
            {
              "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": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.51
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.52
            },
            {
              "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": "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.52
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.52
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.35
            },
            {
              "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 MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "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": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.52
            },
            {
              "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 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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "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": 95,
              "estimated_amount": 0.51
            }
          ]
        }
      ]
    },
    {
      "description": "Bed Pan Fracture",
      "code_information": [
        {
          "code": "PX-CH-MZDYND80220",
          "type": "CDM"
        },
        {
          "code": "E0276",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.77,
          "discounted_cash": 1.15,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.69
            },
            {
              "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": 0.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.77,
              "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": 95,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 96.5,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.77,
              "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": 1.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.97
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "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": 97.8,
              "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": 0.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.77,
              "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": 1.5
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.77,
              "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": 1.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 1.77,
              "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": 95,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.6
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.77,
              "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": 1.77,
              "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": 95,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.77,
              "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": 1.77,
              "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": 95,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.97
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.68
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.77,
              "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": 1.77,
              "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": 96,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.68
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.77,
              "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": 67.4,
              "estimated_amount": 1.19
            },
            {
              "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": 1.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "Orange Cuticle Stick Management",
      "code_information": [
        {
          "code": "PX-CH-MZGF801780",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.04,
          "discounted_cash": 0.03,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "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": 0.04,
              "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": 0.04,
              "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": 0.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.04
            },
            {
              "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": 0.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 0.04,
              "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": 0.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.04,
              "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": 0.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.04,
              "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": 0.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.04,
              "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": 0.04,
              "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": 0.04
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.04,
              "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": 67.4,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 96.5,
              "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": 0.04,
              "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": 0.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.03
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.04,
              "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": 95,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.04,
              "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": 96,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "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": 0.04,
              "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": 0.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "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": 0.04,
              "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": 95,
              "estimated_amount": 0.04
            }
          ]
        }
      ]
    },
    {
      "description": "Hydrogel Drsg Ag Silvasorb 4 in X 4 In",
      "code_information": [
        {
          "code": "PX-CH-MZMSC9344EP-Z",
          "type": "CDM"
        },
        {
          "code": "A6243",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 25.71,
          "discounted_cash": 16.71,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.71,
              "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": 97.8,
              "estimated_amount": 25.14
            },
            {
              "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": 14.14
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.97
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21.85
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.53
            },
            {
              "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": 22.62
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24.68
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 25.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.97
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.42
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.97
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 25.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.71,
              "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": 95.4,
              "estimated_amount": 24.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.71,
              "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": 95.4,
              "estimated_amount": 24.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24.68
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.42
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.71,
              "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": 25.71,
              "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": 67.4,
              "estimated_amount": 17.33
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.53
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.97
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14.14
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.74
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.74
            },
            {
              "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": 16.71
            },
            {
              "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": 95.4,
              "estimated_amount": 24.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.71,
              "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": 95.4,
              "estimated_amount": 24.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.71,
              "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": 25.71,
              "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": 25.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.71,
              "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": 25.71,
              "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": 25.71,
              "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": 96,
              "estimated_amount": 24.68
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.42
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 25.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 25.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24.55
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.97
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.42
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.42
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.42
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.71,
              "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": 25.71,
              "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": 96,
              "estimated_amount": 24.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.42
            }
          ]
        }
      ]
    },
    {
      "description": "Catheter 100% Silicone 20 Fr 30 Cc Peco Cardinal",
      "code_information": [
        {
          "code": "PX-CH-PCPF6820",
          "type": "CDM"
        },
        {
          "code": "A4344",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6.57,
          "discounted_cash": 4.27,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.58
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.57,
              "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": 6.57,
              "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": 6.57,
              "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": 6.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.57,
              "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": 6.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.57,
              "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": 96,
              "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": 6.57
            },
            {
              "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": 3.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.58
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.58
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.27
            },
            {
              "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": 6.57,
              "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": 6.57,
              "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": 95,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.57,
              "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": 95,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.61
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.57,
              "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": 6.57,
              "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": 95,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.57,
              "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": 6.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.04
            },
            {
              "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": 6.57,
              "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": 95.4,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.57,
              "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": 95,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.23
            },
            {
              "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": 95.4,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.57,
              "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": 6.57,
              "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": 5.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 6.57,
              "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": 3.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.58
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.61
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.58
            }
          ]
        }
      ]
    },
    {
      "description": "Washcloth Disposable10 in X 13 Dry 1 Each=1pak of 50",
      "code_information": [
        {
          "code": "PX-CH-RP64601",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4,
          "discounted_cash": 2.6,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 4,
              "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": 95,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.84
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.36
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 4,
              "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,
              "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,
              "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": 96.5,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4,
              "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,
              "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": 95,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 3.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 3.82
            },
            {
              "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": 95.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4,
              "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,
              "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": 96,
              "estimated_amount": 3.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4,
              "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,
              "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,
              "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": 95.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.36
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.36
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 96,
              "estimated_amount": 3.84
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4,
              "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": 95,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 4,
              "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,
              "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,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.24
            },
            {
              "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": 4,
              "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": 3.4
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.4
            },
            {
              "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": 2.2
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 2.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "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": 95.5,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4,
              "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,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 2.2
            },
            {
              "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": 3.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.36
            }
          ]
        }
      ]
    },
    {
      "description": "HC Transluminal Balloon Angioplasty W Img Vein Each Addl",
      "code_information": [
        {
          "code": "PX-36100848",
          "type": "CDM"
        },
        {
          "code": "37249",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6727,
          "discounted_cash": 4372.55,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6417.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6417.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6417.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6491.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6727,
              "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": 97.8,
              "estimated_amount": 6579.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6579.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3699.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6390.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6417.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6417.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6417.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6491.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6424.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6424.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6727,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2085.37
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2287.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6390.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6424.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6727,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6417.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6417.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6727,
              "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": 96,
              "estimated_amount": 6457.92
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2287.18
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6457.92
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6457.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3699.85
            },
            {
              "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": 3699.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6390.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6417.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6424.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6727,
              "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": 6727,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2085.37
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 4534
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6390.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6390.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5717.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6491.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6491.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6424.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6727,
              "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": 6727,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2085.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6491.56
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5717.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3699.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3699.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6390.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2085.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6491.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2085.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6390.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2085.37
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2287.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6417.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6417.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6424.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6424.29
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6390.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6417.56
            },
            {
              "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": 95.4,
              "estimated_amount": 6417.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6417.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6727,
              "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": 96,
              "estimated_amount": 6457.92
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6457.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6727,
              "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": 95,
              "estimated_amount": 6390.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2085.37
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5717.95
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2085.37
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6390.65
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2085.37
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6457.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6491.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6424.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6727,
              "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": 3699.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6417.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6424.29
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6457.92
            },
            {
              "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": 5919.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6727,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2287.18
            },
            {
              "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": 4372.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6417.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6424.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6727,
              "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": 97.8,
              "estimated_amount": 6579.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6727,
              "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": 6727,
              "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": 6727,
              "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": 6727,
              "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": 95,
              "estimated_amount": 6390.65
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5717.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6417.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6417.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6727,
              "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": 97.8,
              "estimated_amount": 6579.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3699.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6390.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2287.18
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2085.37
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6390.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6390.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5717.95
            }
          ]
        }
      ]
    },
    {
      "description": "HC Injection Dx or Ther Epidur or Subarach Cer or Thor W Img",
      "code_information": [
        {
          "code": "PX-36100850",
          "type": "CDM"
        },
        {
          "code": "62321",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5360,
          "discounted_cash": 3484,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5113.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5113.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5360,
              "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": 96,
              "estimated_amount": 5145.6
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1661.6,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5092
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4556
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3484
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5113.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5172.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5118.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5360,
              "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": 5360,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1661.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5145.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5242.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1661.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1822.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5145.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5113.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5113.44
            },
            {
              "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": 95.4,
              "estimated_amount": 5113.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5113.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5360,
              "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": 5360,
              "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": 5360,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5145.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5242.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2948
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1661.6,
              "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": 2948
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4556
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5172.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5360,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5172.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5360,
              "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": 5360,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1661.6
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5360,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5113.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5113.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5172.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5118.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5242.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1661.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2948
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5092
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1822.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1822.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5092
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5172.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5360,
              "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": 5360,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5113.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5113.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5113.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5118.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5360,
              "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": 96.5,
              "estimated_amount": 5172.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5360,
              "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": 2948
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5092
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5092
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1661.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5145.6
            },
            {
              "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": 5360,
              "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": 95,
              "estimated_amount": 5092
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5113.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5145.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5092
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5092
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5113.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5118.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5118.8
            },
            {
              "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": 5360,
              "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": 4716.8
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5092
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5242.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5113.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5118.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5118.8
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1661.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2948
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1661.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1661.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5113.44
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1661.6
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4556
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2948
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4556
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5145.6
            },
            {
              "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": 5360,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2948
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5092
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5092
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1661.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4556
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5113.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5118.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5360,
              "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": 5360,
              "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": 67.4,
              "estimated_amount": 3612.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5172.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5118.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5360,
              "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": 95,
              "estimated_amount": 5092
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5092
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1661.6,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1822.4
            },
            {
              "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": 5360,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5113.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5118.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5360,
              "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": 5360,
              "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": 4556
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5092
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1822.4
            }
          ]
        }
      ]
    },
    {
      "description": "HC Application on Body Injector for Timed Injection",
      "code_information": [
        {
          "code": "PX-76100013",
          "type": "CDM"
        },
        {
          "code": "96377",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 233,
          "discounted_cash": 151.45,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 222.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 224.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 233,
              "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": 95,
              "estimated_amount": 221.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 221.35
            },
            {
              "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": "UHC 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": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 222.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 224.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 222.52
            },
            {
              "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": 233,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 227.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 128.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 223.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 221.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 222.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 224.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 222.52
            },
            {
              "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": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 222.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 233,
              "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": 233,
              "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": 205.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 227.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 221.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.23
            },
            {
              "payer_name": "MOLINA 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": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 224.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 224.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 222.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 222.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 233,
              "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": 67.4,
              "estimated_amount": 157.04
            },
            {
              "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 [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 227.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 221.35
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.23
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 222.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 222.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 222.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 233,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.23
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.23
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 221.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 233,
              "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": 233,
              "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": 96,
              "estimated_amount": 223.68
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "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 (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 79.22
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 221.35
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 223.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 222.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 223.68
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 233,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.23,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 221.35
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.23,
              "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": 151.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 224.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 233,
              "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": 233,
              "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": 95,
              "estimated_amount": 221.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 222.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 222.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 233,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.23
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 221.35
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.05
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 221.35
            },
            {
              "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": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 233,
              "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": 128.15
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.23,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 222.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 222.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 222.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 233,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 221.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 221.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.23
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 79.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 222.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 222.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 222.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 233,
              "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": 233,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 223.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 222.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 227.87
            },
            {
              "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": 233,
              "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": 95,
              "estimated_amount": 221.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 72.23
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 223.68
            },
            {
              "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": 233,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 79.22
            },
            {
              "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": 95.4,
              "estimated_amount": 222.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 222.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 233,
              "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": 233,
              "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": 96,
              "estimated_amount": 223.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 222.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 224.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 222.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 233,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 79.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 222.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 222.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 222.52
            },
            {
              "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": 128.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 79.22
            }
          ]
        }
      ]
    },
    {
      "description": "Kit Drainage Biliary Marlen",
      "code_information": [
        {
          "code": "PX-CH-72BK6",
          "type": "CDM"
        },
        {
          "code": "A4649",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 30.74,
          "discounted_cash": 19.98,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.33
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 29.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30.74,
              "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": 96,
              "estimated_amount": 29.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 30.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.53
            },
            {
              "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": 30.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10.45
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 29.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 29.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.33
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.2
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 29.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 29.36
            },
            {
              "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": 16.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.53
            },
            {
              "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": 27.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 29.66
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 30.74,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.51
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.91
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 29.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 29.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 30.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 30.06
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10.45
            },
            {
              "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": 95.4,
              "estimated_amount": 29.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30.74,
              "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": 30.74,
              "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": 30.74,
              "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": 95.4,
              "estimated_amount": 29.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 29.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 29.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.91
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.91
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10.45
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30.74,
              "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": 30.74,
              "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": 30.74,
              "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": 96,
              "estimated_amount": 29.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 29.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 29.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30.74,
              "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": 96,
              "estimated_amount": 29.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.33
            },
            {
              "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": 30.74,
              "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": 30.74,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 29.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 29.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 29.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30.74,
              "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": 30.74,
              "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": 30.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30.74,
              "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": 30.74,
              "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": 95,
              "estimated_amount": 29.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26.13
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 29.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 29.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 30.06
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10.45
            }
          ]
        }
      ]
    },
    {
      "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": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.09
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "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": 95.4,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.1
            },
            {
              "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.1
            },
            {
              "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": 0.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.1
            },
            {
              "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": "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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.1
            },
            {
              "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": "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 97.8,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.1
            },
            {
              "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": 95.4,
              "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": 0.1,
              "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": 97.8,
              "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": 95,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.1,
              "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": "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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.1
            },
            {
              "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/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 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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.03
            },
            {
              "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": 0.1,
              "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": 0.09
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.5,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 96.5,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "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": 96,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "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": 95,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.1
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.1,
              "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": 95,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "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": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "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": 0.1,
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.1
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.5,
              "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": 0.1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.09
            }
          ]
        }
      ]
    },
    {
      "description": "\"1 Pc Pre Cut Std Wear 1- 1/4\"\" Sensura Mio\"",
      "code_information": [
        {
          "code": "PX-CH-CO10475",
          "type": "CDM"
        },
        {
          "code": "A4424",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 9.72,
          "discounted_cash": 6.32,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 6.55
            },
            {
              "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": 9.72,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 6.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.01
            },
            {
              "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": 8.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.28
            },
            {
              "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": 5.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.23
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.72,
              "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": 9.72,
              "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": 9.72,
              "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": 5.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.3
            },
            {
              "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": 9.72,
              "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": 8.26
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.26
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.72,
              "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": 95,
              "estimated_amount": 9.23
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.72,
              "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": 95,
              "estimated_amount": 9.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.23
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.38
            },
            {
              "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": 9.72,
              "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": 97.8,
              "estimated_amount": 9.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.72,
              "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": 95.4,
              "estimated_amount": 9.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.72,
              "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": 96,
              "estimated_amount": 9.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.23
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.72,
              "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": 8.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.35
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.72,
              "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": 5.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.72,
              "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": 9.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.3
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 9.72,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 9.51
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.26
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.01,
              "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": 9.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.72,
              "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": 96,
              "estimated_amount": 9.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 9.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.33
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.23
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 9.33
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 9.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 9.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "Intermittent Catheter Cure Twist Female 14 Fr 6\"\"",
      "code_information": [
        {
          "code": "PX-CH-CQT14",
          "type": "CDM"
        },
        {
          "code": "A4351",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.26,
          "discounted_cash": 1.47,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.26,
              "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": 1.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.26,
              "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": 2.26,
              "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": 2.26,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.21
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 2.26,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 97.8,
              "estimated_amount": 2.21
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.7,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.26,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.26,
              "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": 96,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.26,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.7,
              "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": 95,
              "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": 1.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.16
            },
            {
              "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": 95.4,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.92
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.7,
              "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": 95.4,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.26,
              "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": 2.26,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.92
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.26,
              "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": 2.26,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 1.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 2.26,
              "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": 2.26,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.7
            },
            {
              "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": 2.26,
              "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": 1.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.26,
              "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": 95.4,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.26,
              "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": 95,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "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": 1.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.26,
              "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": 2.26,
              "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": 2.26,
              "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": 95,
              "estimated_amount": 2.15
            }
          ]
        }
      ]
    },
    {
      "description": "\"2pc Ctf Std Wear Up to 1-1/14\"\" Little Ones\"",
      "code_information": [
        {
          "code": "PX-CH-CV4116-42",
          "type": "CDM"
        },
        {
          "code": "A4414",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6.44,
          "discounted_cash": 4.19,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.44,
              "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": 96,
              "estimated_amount": 6.18
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.54
            },
            {
              "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": 3.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.15
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.18
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.21
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 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": 6.44,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 6.44,
              "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": 95,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.44,
              "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": 6.44,
              "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": 96,
              "estimated_amount": 6.18
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.44,
              "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": 6.44,
              "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": 6.44,
              "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": 95,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.44,
              "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": 5.47
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.47
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.44,
              "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": 95,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.44,
              "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": 95,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.12
            },
            {
              "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": 95.4,
              "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": 6.44,
              "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": 3.54
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.21
            },
            {
              "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": 5.67
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.44,
              "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": 3.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 5.47
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.14
            },
            {
              "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": 6.44,
              "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": 6.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.44,
              "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": 6.44,
              "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": 6.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.3
            },
            {
              "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": 6.44,
              "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": 96,
              "estimated_amount": 6.18
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.18
            }
          ]
        }
      ]
    },
    {
      "description": "Pleurx Drainage Line",
      "code_information": [
        {
          "code": "PX-CH-DB50-7225",
          "type": "CDM"
        },
        {
          "code": "A4649",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 37.61,
          "discounted_cash": 24.45,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37.61,
              "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": 95,
              "estimated_amount": 35.73
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 36.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 35.73
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.97
            },
            {
              "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": 20.69
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.11
            },
            {
              "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": 95.4,
              "estimated_amount": 35.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37.61,
              "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": 96,
              "estimated_amount": 36.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 36.29
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 35.73
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.79
            },
            {
              "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": 37.61,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 36.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 35.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37.61,
              "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": 37.61,
              "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": 37.61,
              "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": 33.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.97
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.66,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 36.29
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 35.73
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 35.73
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 35.73
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.66,
              "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": 37.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 36.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 35.73
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37.61,
              "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": 37.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 36.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.11
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 36.11
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 35.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 35.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.69
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.79
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 36.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37.61,
              "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": 37.61,
              "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": 20.69
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.66,
              "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": 95.4,
              "estimated_amount": 35.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35.92
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 36.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37.61,
              "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": 37.61,
              "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": 95,
              "estimated_amount": 35.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 35.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37.61,
              "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": 37.61,
              "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": 95,
              "estimated_amount": 35.73
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 35.73
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.79
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 35.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 35.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37.61,
              "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": 37.61,
              "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": 37.61,
              "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": 96,
              "estimated_amount": 36.11
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 37.61,
              "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": 97.8,
              "estimated_amount": 36.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 36.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 36.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.69
            }
          ]
        }
      ]
    },
    {
      "description": "Absorption Dressing Xtrasorb Non Adhesive 6 in X 9 In",
      "code_information": [
        {
          "code": "PX-CH-DUM89569",
          "type": "CDM"
        },
        {
          "code": "A6253",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8.72,
          "discounted_cash": 5.67,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.33
            },
            {
              "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.33
            },
            {
              "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 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": "BUCKEYE COMMUNITY 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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 7.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7,
              "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": 4.8
            },
            {
              "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": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "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": 8.72,
              "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": 96,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.33
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.33
            },
            {
              "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": "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "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": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.33
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.53
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.33
            },
            {
              "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 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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "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 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 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": "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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "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": 95,
              "estimated_amount": 8.28
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.41
            },
            {
              "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": "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.33
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.53
            },
            {
              "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": 95.4,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.41
            },
            {
              "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": "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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 4.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.41
            },
            {
              "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": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 4.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.32
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.96
            }
          ]
        }
      ]
    },
    {
      "description": "Goniometer Plastic 7 in Measurement Angle",
      "code_information": [
        {
          "code": "PX-CH-GF12-1001",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6.28,
          "discounted_cash": 4.08,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.28,
              "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": 5.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.28,
              "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": 95,
              "estimated_amount": 5.97
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.34
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.28,
              "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": 6.28,
              "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": 95,
              "estimated_amount": 5.97
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 6.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.28,
              "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": 96,
              "estimated_amount": 6.03
            },
            {
              "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": 6.28,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.97
            },
            {
              "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": 95.4,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.28,
              "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": 6.28,
              "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": 6.28,
              "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": 6.28,
              "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": 95.4,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.28,
              "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": 3.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.97
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 3.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.97
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.34
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.03
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.28,
              "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": 6.28,
              "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": 97.8,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.97
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.28,
              "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": 95.4,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 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": 6.28,
              "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": 97.8,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.14
            },
            {
              "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": 3.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.97
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.28,
              "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": 6.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.97
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.34
            }
          ]
        }
      ]
    },
    {
      "description": "Alcohol Wipes Large 2.5 in X 3 In",
      "code_information": [
        {
          "code": "PX-CH-ICV360-69900",
          "type": "CDM"
        },
        {
          "code": "A4245",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.05,
          "discounted_cash": 0.03,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "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": 0.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "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": 0.05,
              "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": 0.04
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 97.8,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.05
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.05
            },
            {
              "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": 95,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.05
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.05
            },
            {
              "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": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.03
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.05,
              "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": 95,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.05
            },
            {
              "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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "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": 96,
              "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": 95.4,
              "estimated_amount": 0.05
            },
            {
              "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": "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": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "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": 95.4,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.05,
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.05
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 97.8,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "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": 96.5,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.05
            },
            {
              "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 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": "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": 95.4,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "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": 95,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.05
            },
            {
              "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 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 NAVIGATE [625280]",
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.05,
              "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": 0.05,
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.02
            }
          ]
        }
      ]
    },
    {
      "description": "Lotion All Day Moisturizer Cream 2 Oz Cardinal",
      "code_information": [
        {
          "code": "PX-CH-IMC55CSCMSAD2",
          "type": "CDM"
        },
        {
          "code": "A6250",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.51,
          "discounted_cash": 1.63,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.4
            },
            {
              "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/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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 1.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.38
            },
            {
              "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": "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": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.39
            },
            {
              "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": 95.4,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.4
            },
            {
              "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": 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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 2.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.39
            },
            {
              "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": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 1.38
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "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": 96,
              "estimated_amount": 2.41
            },
            {
              "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 2.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.41
            },
            {
              "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": 1.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.4
            },
            {
              "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": "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.39
            },
            {
              "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": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.38
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.5,
              "estimated_amount": 2.4
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.51,
              "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": 95,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.38
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.39
            },
            {
              "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": "BUCKEYE COMMUNITY 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": "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": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 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": 97.8,
              "estimated_amount": 2.45
            },
            {
              "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 HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.42
            },
            {
              "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": "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 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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "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": "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 HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.39
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.41
            }
          ]
        }
      ]
    },
    {
      "description": "Underpad Premium 30 in X 36 in Cardinal Preferred",
      "code_information": [
        {
          "code": "PX-CH-IMC55UPR3036",
          "type": "CDM"
        },
        {
          "code": "A4554",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.51,
          "discounted_cash": 2.28,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.51,
              "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": 95,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 2.98
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 3.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 2.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 96,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 2.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 97.8,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "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": 95.4,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.51,
              "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": 3.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.51,
              "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": 95.5,
              "estimated_amount": 3.35
            },
            {
              "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": 3.09
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.51,
              "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": 3.51,
              "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": 3.51,
              "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": 3.51,
              "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": 3.51,
              "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": 96,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.51,
              "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": 95.4,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.98
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.98
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 1.93
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.51,
              "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": 2.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.51,
              "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": 3.51,
              "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": 1.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.51,
              "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": 3.51,
              "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": 1.93
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.37
            }
          ]
        }
      ]
    },
    {
      "description": "Blood Collection Set 21g X 3/4 in Winged Safety",
      "code_information": [
        {
          "code": "PX-CH-KN225299",
          "type": "CDM"
        },
        {
          "code": "A4215",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.76,
          "discounted_cash": 1.14,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.68
            },
            {
              "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 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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.68
            },
            {
              "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": 95.4,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.68
            },
            {
              "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 GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.76,
              "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": 95,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.6
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "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": 95.4,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.68
            },
            {
              "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": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.69
            },
            {
              "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": 0.97
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.7
            },
            {
              "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": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.6
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.76
            },
            {
              "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 HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.68
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 67.4,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.67
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.76,
              "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": 95,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "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": 97.8,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.68
            },
            {
              "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": "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": "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": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.68
            },
            {
              "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": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.68
            },
            {
              "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/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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.69
            },
            {
              "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": 1.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.68
            },
            {
              "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": 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": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.68
            },
            {
              "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": "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.69
            }
          ]
        }
      ]
    },
    {
      "description": "Sharps Container 1 Qt Red",
      "code_information": [
        {
          "code": "PX-CH-KN8900SA",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.04,
          "discounted_cash": 1.98,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.04,
              "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": 2.68
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.92
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.92
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.04,
              "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": 3.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.04,
              "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": 3.04,
              "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": 3.04,
              "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": 2.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.97
            },
            {
              "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": 1.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.92
            },
            {
              "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": 95.4,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.04,
              "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": 3.04,
              "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": 3.04,
              "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": 97.8,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 2.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.94
            },
            {
              "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": 1.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.04,
              "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": 3.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.04,
              "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": 96,
              "estimated_amount": 2.92
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.9
            },
            {
              "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": 3.04,
              "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": 3.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.04,
              "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": 96,
              "estimated_amount": 2.92
            },
            {
              "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": 3.04,
              "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": 2.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.04,
              "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": 1.67
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 2.79,
          "discounted_cash": 1.81,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.79,
              "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": 2.79,
              "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": 1.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.79,
              "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": 2.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.37
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.79,
              "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": 96,
              "estimated_amount": 2.68
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.66
            },
            {
              "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": 2.79,
              "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": 2.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 1.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 97.8,
              "estimated_amount": 2.73
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 2.37
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.79,
              "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": 95,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.37
            },
            {
              "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": 1.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.53
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 67.4,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.79,
              "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": 95.4,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.86
            },
            {
              "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": 2.79,
              "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": 2.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.79,
              "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": 2.79,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.79,
              "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": 97.8,
              "estimated_amount": 2.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.79,
              "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": 2.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.68
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.79,
              "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": 95,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.68
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.68
            },
            {
              "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": 95.4,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.65
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.86
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 6.05,
          "discounted_cash": 3.93,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.77
            },
            {
              "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": "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": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.14
            },
            {
              "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": 3.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 5.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.77
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.75
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.06
            },
            {
              "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": "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": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.77
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.06
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.77
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.78
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.78
            },
            {
              "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": "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": "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 3.33
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.78
            },
            {
              "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/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 CHOICE [625225]",
              "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": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.78
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 3.33
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.78
            },
            {
              "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": 95.4,
              "estimated_amount": 5.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.78
            },
            {
              "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": "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "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 (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.5,
              "estimated_amount": 5.78
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.92
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.78
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.81
            },
            {
              "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": "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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.84
            },
            {
              "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 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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 6.05,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "Vacutainer Holder",
      "code_information": [
        {
          "code": "PX-CH-M9BD364893",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.12,
          "discounted_cash": 0.08,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.12,
              "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": 0.12,
              "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": "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": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.12
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "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 NAVIGATE [625280]",
              "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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.11
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.12,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "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": 0.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.11
            },
            {
              "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 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": "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.12
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 0.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.11
            },
            {
              "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": "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.11
            },
            {
              "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": 95.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.12
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.11
            },
            {
              "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 ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.11
            },
            {
              "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 GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.12,
              "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": 0.12,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.12
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.1
            },
            {
              "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": "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 97.8,
              "estimated_amount": 0.12
            },
            {
              "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": 0.07
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.1
            }
          ]
        }
      ]
    },
    {
      "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": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.25
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 0.14
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 96,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 67.4,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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": 0.14
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.25
            },
            {
              "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": 95.4,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.14
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 96.5,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.14
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.25
            },
            {
              "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": 0.17
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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": 0.23
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.09
            }
          ]
        }
      ]
    },
    {
      "description": "Paper Towel C-Fold White",
      "code_information": [
        {
          "code": "PX-CH-NP1810A",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 7.68,
          "discounted_cash": 4.99,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.68,
              "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": 97.8,
              "estimated_amount": 7.51
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 6.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.68,
              "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": 7.68,
              "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": 96,
              "estimated_amount": 7.37
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.33
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.33
            },
            {
              "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": 7.68,
              "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": 7.68,
              "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": 7.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.37
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "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": 95,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.33
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.53
            },
            {
              "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": 6.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 4.22
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.53
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.22
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.68,
              "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": 7.68,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.68,
              "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": 7.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.68,
              "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": 4.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.68,
              "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": 95,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.37
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.22
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.38
            },
            {
              "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": 4.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.68,
              "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": 7.68,
              "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": 95,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.53
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.68,
              "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": 7.68,
              "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": 96,
              "estimated_amount": 7.37
            },
            {
              "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": 7.68,
              "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": 6.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.68,
              "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": 97.8,
              "estimated_amount": 7.51
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.33
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.3
            }
          ]
        }
      ]
    },
    {
      "description": "Gown Isolation Yellow",
      "code_information": [
        {
          "code": "PX-CH-PH4600-340",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.55,
          "discounted_cash": 0.36,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "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": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.53
            },
            {
              "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": 0.55,
              "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": 0.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.53
            },
            {
              "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": 0.55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 0.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.55,
              "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": 0.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.55,
              "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": 0.55,
              "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": 0.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.55,
              "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": 0.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.55,
              "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": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.55,
              "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": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.55,
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.55,
              "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": 96,
              "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": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.47
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.55,
              "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": 0.55,
              "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": 97.8,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.5,
              "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": 0.55,
              "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": 0.55,
              "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": 0.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.55,
              "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": 0.55,
              "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": 0.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.3
            },
            {
              "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": 0.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 0.47
            }
          ]
        }
      ]
    },
    {
      "description": "Tubular Drsg Tubigrip Size B Small Hands and Arms 1 Yd",
      "code_information": [
        {
          "code": "PX-CH-SC1520",
          "type": "CDM"
        },
        {
          "code": "A6457",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.69,
          "discounted_cash": 3.7,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.69,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.69,
              "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": 95,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.76,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.69,
              "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": 5.69,
              "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": 5.69,
              "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": 95.4,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.69,
              "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": 96,
              "estimated_amount": 5.46
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 3.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.93
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.69,
              "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": 96,
              "estimated_amount": 5.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.69,
              "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": 95,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.76,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.69,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.41
            },
            {
              "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": 5.69,
              "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": 95.4,
              "estimated_amount": 5.43
            },
            {
              "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": 5.69,
              "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": 5.69,
              "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": 95,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.69,
              "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": 5.69,
              "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": 95,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.46
            },
            {
              "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": 3.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.69,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.76
            },
            {
              "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": 95.4,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 5.69,
              "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": 5.69,
              "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": 3.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 4.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.43
            },
            {
              "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": 5.01
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.46
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.76,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.46
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.93
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.93
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.69,
              "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": 5.69,
              "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": 5.69,
              "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": 95,
              "estimated_amount": 5.41
            }
          ]
        }
      ]
    },
    {
      "description": "Foam Drsg Non-Adhesive Reliamed 4 in X 4 In",
      "code_information": [
        {
          "code": "PX-CH-ZDF44",
          "type": "CDM"
        },
        {
          "code": "A6209",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.94,
          "discounted_cash": 2.56,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 3.94,
              "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": 96,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.22,
              "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": 3.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.94,
              "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": 2.17
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.22,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.74
            },
            {
              "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": 3.94,
              "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": 96,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 3.94,
              "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": 95.4,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 3.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.94,
              "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": 2.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.22,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.94,
              "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": 3.94,
              "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": 96,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 3.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3.94,
              "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": 3.94,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.35
            },
            {
              "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": 2.17
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.78
            },
            {
              "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": 95.4,
              "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": 95.4,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.76
            },
            {
              "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": 3.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.94,
              "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": 3.94,
              "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": 3.94,
              "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": 96,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.94,
              "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": 97.8,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.94,
              "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": 3.94,
              "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": 95.4,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.76
            },
            {
              "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": 3.94,
              "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": 3.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.94,
              "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": 3.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 2.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.34
            }
          ]
        }
      ]
    },
    {
      "description": "Ot Bwc Transitional Work per 15 Min",
      "code_information": [
        {
          "code": "PX-43000066",
          "type": "CDM"
        },
        {
          "code": "W0637",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 104,
          "discounted_cash": 67.6,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 99.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 98.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 98.38
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 99.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 57.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 98.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 32.24
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 98.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 99.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 100.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 98.38
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 32.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 88.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 99.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 99.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 100.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 98.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 99.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 98.38
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 99.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 101.71
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 32.24
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 99.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 98.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 32.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 99.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 99.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 98.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 98.38
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 98.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 98.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 88.4
            },
            {
              "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": 95.4,
              "estimated_amount": 99.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 100.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 99.32
            },
            {
              "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": 91.52
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 98.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 98.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 35.36
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 88.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 32.24
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 99.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 99.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 98.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 57.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 57.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 99.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 99.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 98.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 98.38
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 99.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 99.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 98.38
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 98.8
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 88.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 101.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 57.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 98.8
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 99.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 101.71
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 35.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 99.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 99.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 100.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 99.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 98.38
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 32.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 104
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 57.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 98.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 99.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 99.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 98.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 99.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 99.22
            },
            {
              "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": 57.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 99.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 98.38
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 32.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 99.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 98.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 32.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 99.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 99.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 101.71
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 35.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 98.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 98.8
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 35.36
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 35.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 100.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 99.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 99.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 99.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 98.38
            },
            {
              "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": 67.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 32.24
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 88.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 99.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 100.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 99.32
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 70.1
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 98.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 100.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 98.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 98.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 57.2
            }
          ]
        }
      ]
    },
    {
      "description": "Foam Drsg Non-Adhesive Hydrofera Blue 4 in X 4 In",
      "code_information": [
        {
          "code": "PX-CH-ADVOHB4414",
          "type": "CDM"
        },
        {
          "code": "A6209",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 10.49,
          "discounted_cash": 6.82,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.49,
              "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": 10.49,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 9.97
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.07
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.07
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.57
            },
            {
              "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": 10.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.49,
              "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": 95,
              "estimated_amount": 9.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.97
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.97
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.25,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.49,
              "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": 10.49,
              "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": 10.49,
              "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": 9.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.49,
              "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": 95,
              "estimated_amount": 9.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.07
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.97
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.49,
              "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": 10.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.25,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.97
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.12
            },
            {
              "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": 10.49,
              "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": 95.4,
              "estimated_amount": 10.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.49,
              "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": 8.92
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.49,
              "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": 10.49,
              "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": 95,
              "estimated_amount": 9.97
            },
            {
              "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": 5.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.97
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.02
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 10.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.77
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 9.97
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 10.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.77
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 10.26
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.01
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 10.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 10.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.49,
              "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": 10.49,
              "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": 96,
              "estimated_amount": 10.07
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 10.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 10.02
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.77
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.92
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.25,
              "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": 10.49,
              "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": 10.49,
              "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": 10.49,
              "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": 10.49
            }
          ]
        }
      ]
    },
    {
      "description": "Trach Care Tray",
      "code_information": [
        {
          "code": "PX-CH-MZDYND40589",
          "type": "CDM"
        },
        {
          "code": "A4625",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.99,
          "discounted_cash": 3.89,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.78
            },
            {
              "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": 5.27
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.72
            },
            {
              "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": 5.99,
              "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": 97.8,
              "estimated_amount": 5.86
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.29
            },
            {
              "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": 3.29
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.72
            },
            {
              "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.78
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.86
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.75
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.71
            },
            {
              "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 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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.09
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.86
            },
            {
              "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": "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": "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 SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.72
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.86
            },
            {
              "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 OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.99,
              "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": 97.8,
              "estimated_amount": 5.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.71
            },
            {
              "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": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.72
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.69
            },
            {
              "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 (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.04
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3.89
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.86
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.71
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.71
            },
            {
              "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": 95.4,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.72
            },
            {
              "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": "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": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.72
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.78
            },
            {
              "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 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 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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.86
            },
            {
              "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 MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.72
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.75
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.69
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 7.34,
          "discounted_cash": 4.77,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.01
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.18
            },
            {
              "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": 4.04
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.24
            },
            {
              "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": 4.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.97
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 95,
              "estimated_amount": 6.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.97
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.34,
              "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": 7.34,
              "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": 95.4,
              "estimated_amount": 7
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.18
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.05
            },
            {
              "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": 95.4,
              "estimated_amount": 7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.01
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.34,
              "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": 7.34,
              "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": 7.34,
              "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": 7.34,
              "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": 95.4,
              "estimated_amount": 7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.34,
              "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": 7.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 7.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.97
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.97
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.34,
              "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": 7.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 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": 6.46
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.34,
              "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": 95,
              "estimated_amount": 6.97
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 95.5,
              "estimated_amount": 7.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.34,
              "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": 7.34,
              "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": 7.34,
              "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": 67.4,
              "estimated_amount": 4.95
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.34,
              "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": 95,
              "estimated_amount": 6.97
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.05
            }
          ]
        }
      ]
    },
    {
      "description": "Hydrofiber Silver Aquacel Ag Surgical 3.5 in X 10 In",
      "code_information": [
        {
          "code": "PX-CH-CV4120-11",
          "type": "CDM"
        },
        {
          "code": "A6199",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 98.41,
          "discounted_cash": 63.97,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 93.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 98.41,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 33.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 94.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 98.41,
              "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": 98.41,
              "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": 96,
              "estimated_amount": 94.47
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 93.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 96.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 93.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 93.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 93.98
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 93.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 93.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 94.97
            },
            {
              "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": 86.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 93.49
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 33.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 54.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 93.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 93.49
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.51
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 33.46
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 83.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 93.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 93.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 94.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 98.41,
              "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": 98.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 94.47
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 93.49
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 83.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 54.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 93.49
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.51,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.51,
              "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": 95.4,
              "estimated_amount": 93.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 98.41,
              "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": 95.5,
              "estimated_amount": 93.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 98.41,
              "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": 97.8,
              "estimated_amount": 96.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 54.13
            },
            {
              "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": 54.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 93.49
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.51
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 93.49
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 94.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 93.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 93.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 93.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 98.41,
              "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": 98.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.51
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 83.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 83.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 98.41,
              "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": 98.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.51
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 94.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 98.41,
              "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": 98.41,
              "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": 98.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 33.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 54.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 93.49
            },
            {
              "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": 98.41,
              "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": 83.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 94.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 93.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 93.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 94.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 93.98
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 54.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 93.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 93.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 93.98
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.51
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.51,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 93.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 94.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 93.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 93.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 93.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 98.41,
              "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": 95,
              "estimated_amount": 93.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 54.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 93.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 93.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 94.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 96.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 33.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 93.49
            },
            {
              "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": 95.4,
              "estimated_amount": 93.88
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 93.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 94.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 93.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 98.41,
              "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": 98.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 93.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 94.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 96.24
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.51
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 94.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 98.41,
              "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": 98.41,
              "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": 98.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 93.49
            }
          ]
        }
      ]
    },
    {
      "description": "Belly Bag 1000cc Rusch",
      "code_information": [
        {
          "code": "PX-CH-A1-B1000",
          "type": "CDM"
        },
        {
          "code": "A4358",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 24.38,
          "discounted_cash": 15.85,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.26
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 24.38,
              "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": 13.41
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.29
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.38,
              "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": 24.38,
              "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": 97.8,
              "estimated_amount": 23.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.16
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 23.84
            },
            {
              "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": 13.41
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.72
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.56,
              "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": 24.38,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.56,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.38,
              "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": 24.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 23.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.16
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.29
            },
            {
              "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": 24.38,
              "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": 96,
              "estimated_amount": 23.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.41
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.26
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 23.4
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 23.84
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 23.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 23.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.28
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 24.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.16
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.38,
              "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": 24.38,
              "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": 95,
              "estimated_amount": 23.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.16
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.38,
              "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": 24.38,
              "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": 24.38,
              "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": 95.5,
              "estimated_amount": 23.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.38,
              "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": 96,
              "estimated_amount": 23.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.41
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.16
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.56,
              "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": 95.4,
              "estimated_amount": 23.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.38,
              "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": 97.8,
              "estimated_amount": 23.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.38,
              "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": 24.38,
              "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": 24.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 20.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 23.4
            },
            {
              "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": 21.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.41
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.16
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.16
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.28
            },
            {
              "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": 24.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 23.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 23.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.38,
              "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": 67.4,
              "estimated_amount": 16.43
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 23.16
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 23.26
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.56
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.29
            }
          ]
        }
      ]
    },
    {
      "description": "Leg Strap Fabric 24 in Latex Free",
      "code_information": [
        {
          "code": "PX-CH-BA150507",
          "type": "CDM"
        },
        {
          "code": "A5114",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.45,
          "discounted_cash": 2.89,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "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": 4.45,
              "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": 95,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.45,
              "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": 4.45,
              "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": 4.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.45,
              "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": 96,
              "estimated_amount": 4.27
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 97.8,
              "estimated_amount": 4.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.25
            },
            {
              "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": 4.45,
              "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": 4.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 4.45,
              "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": 95,
              "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": 95,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.45,
              "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": 2.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.45,
              "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": 95,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.45,
              "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": 4.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 4.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.45
            },
            {
              "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": 95.4,
              "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": 95.5,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.45,
              "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": 67.4,
              "estimated_amount": 3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.45,
              "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": 3.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 2.89
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.27
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.45,
              "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": 96,
              "estimated_amount": 4.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.45,
              "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": 2.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.23
            }
          ]
        }
      ]
    },
    {
      "description": "Foam Drsg Adhesive Allevyn 5 in X 5 In",
      "code_information": [
        {
          "code": "PX-CH-UN66020044",
          "type": "CDM"
        },
        {
          "code": "A6212",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8.9,
          "discounted_cash": 5.78,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.9,
              "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": 96,
              "estimated_amount": 8.54
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.9,
              "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": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.03
            },
            {
              "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": 8.9,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.9,
              "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": 8.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 7.83
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.9,
              "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": 8.9,
              "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": 8.9,
              "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": 8.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.54
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.57
            },
            {
              "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": "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 HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.9,
              "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": 8.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 97.8,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.9
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76,
              "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": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.9,
              "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": 96,
              "estimated_amount": 8.54
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.9,
              "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": 8.9,
              "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": 8.9,
              "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": 4.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.5,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.9,
              "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": 97.8,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.9,
              "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": 96,
              "estimated_amount": 8.54
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.5
            },
            {
              "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": 8.9,
              "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": 7.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.54
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.76
            }
          ]
        }
      ]
    },
    {
      "description": "Syringe/Needle 3 Cc 25 G X 5/8 in Safety",
      "code_information": [
        {
          "code": "PX-CH-BD305904",
          "type": "CDM"
        },
        {
          "code": "A4208",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.8,
          "discounted_cash": 0.52,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.8,
              "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": 0.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.8,
              "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": 0.8,
              "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": 96,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.5,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.8,
              "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": 67.4,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.8,
              "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": 0.52
            },
            {
              "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": 0.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 0.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.8,
              "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": 96,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.8,
              "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": 95,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 97.8,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.8,
              "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": 0.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 0.8,
              "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": 0.8,
              "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": 95.4,
              "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": 95.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "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": 0.8,
              "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": 0.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 0.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 0.8,
              "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": 96,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "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": 0.8,
              "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": 0.8,
              "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": 95,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 97.8,
              "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": 0.44
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.25
            }
          ]
        }
      ]
    },
    {
      "description": "Wound Solution Vashe 8.5 Oz Antimicrobial",
      "code_information": [
        {
          "code": "PX-CH-EL00313",
          "type": "CDM"
        },
        {
          "code": "A6260",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 29.74,
          "discounted_cash": 19.33,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 28.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 29.74,
              "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": 95,
              "estimated_amount": 28.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 28.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 28.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 28.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 29.74,
              "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": 29.74,
              "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": 95,
              "estimated_amount": 28.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.36
            },
            {
              "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": 16.36
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 28.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.22
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 28.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 29.74,
              "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": 29.74,
              "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": 29.74,
              "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": 96,
              "estimated_amount": 28.55
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 28.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 28.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 28.4
            },
            {
              "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": 29.74,
              "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": 95,
              "estimated_amount": 28.25
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 28.25
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 28.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.36
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10.11
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 28.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 29.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 28.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 28.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 28.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 28.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 29.74,
              "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": 29.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 28.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 28.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 28.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 28.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 28.4
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.22
            },
            {
              "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": 29.74,
              "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": 26.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 28.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 28.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 28.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 29.74,
              "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": 95,
              "estimated_amount": 28.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10.11
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 28.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 28.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.22
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10.11
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 28.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 28.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 28.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 28.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 28.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 28.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 28.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 29.09
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25.28
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 28.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 28.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 29.74,
              "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": 29.74,
              "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": 16.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 28.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 28.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 28.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 28.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.22
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10.11
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 28.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 28.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 29.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 29.74,
              "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": 29.74,
              "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": 95.4,
              "estimated_amount": 28.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 28.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 28.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 29.74,
              "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": 29.74,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 29.74
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.22
            },
            {
              "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": 29.74,
              "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": 95.5,
              "estimated_amount": 28.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 28.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 28.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 28.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 29.74,
              "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": 29.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 29.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 28.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 28.37
            },
            {
              "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": 95.4,
              "estimated_amount": 28.37
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25.28
            }
          ]
        }
      ]
    },
    {
      "description": "1 Pc Ctf Std Wear Sensura Mio Drainable",
      "code_information": [
        {
          "code": "PX-CH-SW10481",
          "type": "CDM"
        },
        {
          "code": "A6154",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6.53,
          "discounted_cash": 4.24,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.02
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 6.2
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.02,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.53,
              "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": 6.53,
              "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": 95.4,
              "estimated_amount": 6.23
            },
            {
              "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": "BUCKEYE COMMUNITY 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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.2
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "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": 5.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.02
            },
            {
              "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": "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.27
            },
            {
              "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": 95.4,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.3
            },
            {
              "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": "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": "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 OXFORD [625260]",
              "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 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": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.02,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.02
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.27
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.59
            },
            {
              "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": "HEALTHREACH EBSC [540420]",
              "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": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.02
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.2
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.24
            },
            {
              "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": 6.53,
              "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": 5.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.39
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 3.59
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.02,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.24
            },
            {
              "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": "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": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.23
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 5.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.02
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.23
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.02
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.02
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.02
            },
            {
              "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 [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 6.53,
              "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": 6.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 6.24
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.27
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "Catheter 3-Way Lubricious 18 Fr 30 Cc",
      "code_information": [
        {
          "code": "PX-CH-BA0167L18",
          "type": "CDM"
        },
        {
          "code": "A4346",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 27.23,
          "discounted_cash": 17.7,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25.98
            },
            {
              "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": 95.4,
              "estimated_amount": 25.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 26.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 25.87
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 26.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 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": 27.23,
              "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": 27.23,
              "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": 97.8,
              "estimated_amount": 26.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14.98
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8.44
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 9.26
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 25.87
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 26.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8.44
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8.44
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 26.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 25.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 25.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14.98
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.23,
              "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": 27.23,
              "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": 67.4,
              "estimated_amount": 18.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 26.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14.98
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 9.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 27.23,
              "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": 27.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 26.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8.44
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 25.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 25.87
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 9.26
            },
            {
              "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": 17.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.23,
              "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": 95.5,
              "estimated_amount": 26
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 26.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 27.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 25.87
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 26.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 25.87
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 9.26
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.23,
              "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": 27.23,
              "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": 23.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 26.14
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 25.87
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 25.87
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 25.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 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": 27.23,
              "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": 23.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 25.87
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.23,
              "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": 97.8,
              "estimated_amount": 26.63
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 25.87
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 9.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25.98
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.23,
              "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": 95,
              "estimated_amount": 25.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.23,
              "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": 27.23,
              "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": 14.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 25.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.23,
              "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": 14.98
            }
          ]
        }
      ]
    },
    {
      "description": "Tape Cloth Hypafix 2 in X 10 Yrds",
      "code_information": [
        {
          "code": "PX-CH-UN4209",
          "type": "CDM"
        },
        {
          "code": "A4452",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 11.83,
          "discounted_cash": 7.69,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.83,
              "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": 95,
              "estimated_amount": 11.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.06
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.83,
              "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": 11.83,
              "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": 95,
              "estimated_amount": 11.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.83,
              "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": 11.83,
              "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": 11.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.24
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.24
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.42
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.24
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 11.83
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.83,
              "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": 11.83,
              "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": 96,
              "estimated_amount": 11.36
            },
            {
              "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": 95.4,
              "estimated_amount": 11.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.83,
              "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": 96,
              "estimated_amount": 11.36
            },
            {
              "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": 11.83,
              "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": 97.8,
              "estimated_amount": 11.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.3
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 11.83,
              "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": 95,
              "estimated_amount": 11.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.83,
              "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": 11.83,
              "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": 11.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 6.51
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.02
            },
            {
              "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": 11.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.3
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 10.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.3
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.06
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.3
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 96,
              "estimated_amount": 11.36
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 11.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.83,
              "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": 11.83,
              "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": 11.83,
              "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": 6.51
            }
          ]
        }
      ]
    },
    {
      "description": "Belt Ostomy Sensura Mio 40 In",
      "code_information": [
        {
          "code": "PX-CH-CO4237",
          "type": "CDM"
        },
        {
          "code": "A4367",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 9.06,
          "discounted_cash": 5.89,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.06,
              "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": 9.06,
              "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": 9.06,
              "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": 7.7
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.61
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.06,
              "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": 67.4,
              "estimated_amount": 6.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.86
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.06,
              "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": 9.06,
              "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": 95.4,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.74
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.98
            },
            {
              "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": 4.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.98
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.06,
              "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": 9.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.86
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.06,
              "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": 96,
              "estimated_amount": 8.7
            },
            {
              "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": 95.4,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.06,
              "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": 95.4,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.06,
              "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": 4.98
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.06,
              "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": 96,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.06,
              "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": 4.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.06,
              "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": 9.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.61
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.08
            },
            {
              "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": 5.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 9.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.61
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 8.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.06,
              "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": 97.8,
              "estimated_amount": 8.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.64
            },
            {
              "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": 7.97
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.61
            }
          ]
        }
      ]
    },
    {
      "description": "Matrix Drsg Collagen Endoform 2 in X 2 in Fenestrated",
      "code_information": [
        {
          "code": "PX-CH-HO529312",
          "type": "CDM"
        },
        {
          "code": "A6021",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 23.3,
          "discounted_cash": 15.14,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22.25
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.22,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 22.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 22.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.22
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 22.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 22.79
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7.92
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 22.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 23.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 22.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 22.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.3,
              "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": 23.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22.23
            },
            {
              "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": 95.4,
              "estimated_amount": 22.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.3,
              "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": 20.5
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 22.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.22
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7.92
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22.25
            },
            {
              "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": 23.3,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.22
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.82
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.81
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 22.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 23.3,
              "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": 19.81
            },
            {
              "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": 23.3,
              "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": 12.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22.14
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.22
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 22.37
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 22.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 22.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.4,
              "estimated_amount": 22.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.3,
              "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": 95,
              "estimated_amount": 22.14
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 22.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.3,
              "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": 23.3,
              "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": 12.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.82
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22.14
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 22.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 22.48
            },
            {
              "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": 23.3,
              "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": 23.3,
              "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": 23.3,
              "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": 23.3,
              "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": 19.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22.25
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 22.14
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 7.92
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 22.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.82
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 22.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 23.3,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 22.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.3,
              "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": 23.3,
              "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": 12.82
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.22
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.22,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.22,
              "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": 23.3,
              "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": 23.3,
              "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": 96,
              "estimated_amount": 22.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.82
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 22.37
            }
          ]
        }
      ]
    },
    {
      "description": "HH Pt Assistant Routine Visit",
      "code_information": [
        {
          "code": "PX-42100112",
          "type": "CDM"
        },
        {
          "code": "G0157",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 60.51,
          "discounted_cash": 39.33,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.51,
              "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": 96,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 59.18
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.51,
              "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": 33.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 51.43
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76,
              "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": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.51,
              "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": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.51,
              "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": 51.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 20.57
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.51,
              "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": 60.51,
              "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": 60.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 20.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.51,
              "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": 60.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 51.43
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.28
            },
            {
              "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": 53.25
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 59.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 20.57
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 20.57
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 20.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.51,
              "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": 95.5,
              "estimated_amount": 57.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.51,
              "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": 51.43
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 51.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.79
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 59.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 59.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.51,
              "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": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.79
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.79
            },
            {
              "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": 60.51,
              "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": 60.51,
              "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": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 57.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 60.51,
              "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": 60.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 18.76
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 57.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 58.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 57.79
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 58.85,
          "discounted_cash": 39.33,
          "payers_information": [
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 58.85,
              "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": 58.85,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "Attachment Device Foley Stat Lock (Silicone)",
      "code_information": [
        {
          "code": "PX-CH-FOL0100",
          "type": "CDM"
        },
        {
          "code": "A4333",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6.52,
          "discounted_cash": 4.24,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.52,
              "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": 6.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.52,
              "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": 3.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.19
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 5.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.38
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.23
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.02,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.52,
              "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": 6.52,
              "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": 96,
              "estimated_amount": 6.26
            },
            {
              "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": 5.74
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.19
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.02,
              "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": 96.5,
              "estimated_amount": 6.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.52,
              "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": 95,
              "estimated_amount": 6.19
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.22
            },
            {
              "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": 6.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.26
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.29
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.02,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.52,
              "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": 6.52,
              "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": 3.59
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.52,
              "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": 6.52,
              "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": 6.52,
              "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": 6.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.02
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6.26
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.02
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.52,
              "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": 6.52,
              "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": 6.52,
              "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": 6.52
            },
            {
              "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": 3.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.54
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.02
            },
            {
              "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": 95.4,
              "estimated_amount": 6.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.52,
              "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": 96,
              "estimated_amount": 6.26
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 97.8,
              "estimated_amount": 6.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.02
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6.38
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6.19
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 7.45,
          "discounted_cash": 4.84,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.45,
              "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": 96,
              "estimated_amount": 7.15
            },
            {
              "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": 7.45,
              "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": 4.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.33
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 4.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.11
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.11
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 97.8,
              "estimated_amount": 7.29
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.45,
              "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": 95.4,
              "estimated_amount": 7.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.45,
              "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": 7.45,
              "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": 6.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.45,
              "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": 7.45,
              "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": 7.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.08
            },
            {
              "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": 7.45,
              "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": 96,
              "estimated_amount": 7.15
            },
            {
              "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": 4.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.45,
              "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": 7.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.45,
              "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": 7.45,
              "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": 96,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.45,
              "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": 95,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 7.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.45,
              "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": 7.45,
              "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": 7.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 7.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 7.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.33
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 7.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.45,
              "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": 95,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 7.11
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.31
            },
            {
              "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": 6.56
            },
            {
              "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": 7.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.53
            }
          ]
        }
      ]
    },
    {
      "description": "Syringe Only 60cc Luer Lock",
      "code_information": [
        {
          "code": "PX-CH-TESS60L",
          "type": "CDM"
        },
        {
          "code": "A4213",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.01,
          "discounted_cash": 0.66,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 1.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 0.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 1.01,
              "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": 1.01,
              "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": 95.4,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.96
            },
            {
              "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": 1.01,
              "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": 95,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "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": 0.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 0.99
            },
            {
              "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": 0.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.01,
              "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": 96,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 1.01,
              "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": 96,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.01,
              "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": 1.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 97.8,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.01,
              "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": 1.01,
              "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": 0.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.96
            },
            {
              "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": 95.4,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 1.01,
              "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": 1.01,
              "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": 95,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.01,
              "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": 95,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.01,
              "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": 0.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.01
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 0.56
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.34
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Pouch Assura Closed Yellow",
      "code_information": [
        {
          "code": "PX-CH-SW14334",
          "type": "CDM"
        },
        {
          "code": "A4419",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.09,
          "discounted_cash": 2.01,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 3.09,
              "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": 3.09,
              "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": 1.7
            },
            {
              "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 HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.98
            },
            {
              "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 ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 3.09
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 2.98
            },
            {
              "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": "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.95
            },
            {
              "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.02
            },
            {
              "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": 1.7
            },
            {
              "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 MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "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": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.95
            },
            {
              "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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.95
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.98
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.97
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "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": 3.09,
              "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": 3.09,
              "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": 2.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.95
            },
            {
              "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.96
            },
            {
              "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": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 3.09,
              "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": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2.01
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "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": "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": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 2.63
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.96
            }
          ]
        }
      ]
    },
    {
      "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": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14.82
            },
            {
              "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"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.81
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.74
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.74
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.81,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14.82
            },
            {
              "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": 8.54
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14.82
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.9
            },
            {
              "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": 13.66
            },
            {
              "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": "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.74
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.81
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.74
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 8.54
            },
            {
              "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": 15.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.52,
              "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": 15.52,
              "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": 95,
              "estimated_amount": 14.74
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.81
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.81
            },
            {
              "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": "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": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.74
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.9
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.81,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.81
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.81
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.9
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.81
            },
            {
              "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 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": "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.81
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.81
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.81
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.81
            },
            {
              "payer_name": "BUCKEYE COMMUNITY 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": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15.18
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 14.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14.82
            },
            {
              "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14.82
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.9
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14.98
            },
            {
              "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": 15.52,
              "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": 15.52
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.28
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 14.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.81
            },
            {
              "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": 95.4,
              "estimated_amount": 14.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 14.82
            },
            {
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.81
            },
            {
              "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 NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.52,
              "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": 95,
              "estimated_amount": 14.74
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.81,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 14.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 14.98
            },
            {
              "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": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 14.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 15.18
            }
          ]
        }
      ]
    },
    {
      "description": "Wound Cleanser Dakin's 25% Sol 16 0z",
      "code_information": [
        {
          "code": "PX-CH-CK0436093616",
          "type": "CDM"
        },
        {
          "code": "A6260",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 20.11,
          "discounted_cash": 13.07,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 19.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.11,
              "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": 20.11,
              "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": 95,
              "estimated_amount": 19.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.09
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.21
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19.31
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.1
            },
            {
              "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": 20.11,
              "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": 17.09
            },
            {
              "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": 11.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.18
            },
            {
              "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": 20.11,
              "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": 20.11,
              "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": 20.11,
              "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": 96,
              "estimated_amount": 19.31
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.21
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 20.11
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.84
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 19.67
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.11,
              "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": 11.06
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.18
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 19.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.06
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19.41
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.11,
              "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": 20.11,
              "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": 95,
              "estimated_amount": 19.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.11,
              "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": 17.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.11,
              "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": 20.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 19.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.11,
              "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": 20.11,
              "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": 20.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 6.84
            },
            {
              "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": 95.4,
              "estimated_amount": 19.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.11,
              "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": 20.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 19.67
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 19.31
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 19.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.11,
              "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": 96,
              "estimated_amount": 19.31
            },
            {
              "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": 17.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 19.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 19.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 19.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.11,
              "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": 20.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.06
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Ctf Ext Wear Up to 2 1/4 in New Image",
      "code_information": [
        {
          "code": "PX-CH-HO14604",
          "type": "CDM"
        },
        {
          "code": "A4409",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.09,
          "discounted_cash": 2.01,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 3.09,
              "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": 3.09,
              "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": 3.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.97
            },
            {
              "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": 3.09,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.96
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.95
            },
            {
              "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": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "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": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.96,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.96
            },
            {
              "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": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.98
            },
            {
              "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": "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": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.7
            },
            {
              "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": 1.7
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 2.63
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.95
            },
            {
              "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": "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": "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": "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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "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": 3.09,
              "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": 2.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "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": "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 OXFORD [625260]",
              "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 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": "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": "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": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.96,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 2.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.95
            },
            {
              "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": "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": "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": "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": "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": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.02
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.97
            },
            {
              "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": 1.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.96
            },
            {
              "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": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 3.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.96,
              "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": 97.8,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.96
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.95
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.95
            },
            {
              "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": "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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.97
            },
            {
              "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": 3.09,
              "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": 97.8,
              "estimated_amount": 3.02
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 1.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.96,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 96,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.05
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.96,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.95
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 2.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.95
            },
            {
              "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": "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": "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": "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": "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": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.95
            },
            {
              "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": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.95
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.95
            },
            {
              "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": "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": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.02
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.05
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.95
            },
            {
              "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": "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": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 3.09
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.96,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "Patient Repositioning Device Sally Slide Regular Size",
      "code_information": [
        {
          "code": "PX-CH-BUR-5829S",
          "type": "CDM"
        },
        {
          "code": "E0705",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 25.63,
          "discounted_cash": 16.66,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24.48
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.35
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24.6
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 25.07
            },
            {
              "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": 16.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.63,
              "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": 25.63,
              "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": 25.63,
              "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": 22.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.71
            },
            {
              "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": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24.48
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.63,
              "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": 25.63,
              "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": 95,
              "estimated_amount": 24.35
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 25.07
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.63,
              "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": 21.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 25.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.95
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.63,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.95
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 17.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.63,
              "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": 25.63,
              "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": 96,
              "estimated_amount": 24.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.95
            },
            {
              "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": 14.1
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.71
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.71
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 21.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.63,
              "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": 95.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.63,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 25.07
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 24.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 24.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.63,
              "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": 95,
              "estimated_amount": 24.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.63,
              "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": 25.63,
              "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": 95,
              "estimated_amount": 24.35
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.95
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 24.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 24.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.63,
              "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": 25.63,
              "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": 96,
              "estimated_amount": 24.6
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.63,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 7.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 25.07
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 24.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 8.71
            }
          ]
        }
      ]
    },
    {
      "description": "Wrap Paste Zinc-Oxide 3 in Unna Boot Reliamed",
      "code_information": [
        {
          "code": "PX-CH-DN46-334",
          "type": "CDM"
        },
        {
          "code": "A6456",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.47,
          "discounted_cash": 3.56,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.22
            },
            {
              "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": 5.47,
              "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": 95,
              "estimated_amount": 5.2
            },
            {
              "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": 95.4,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.47,
              "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": 5.47,
              "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": 5.47,
              "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": 96,
              "estimated_amount": 5.25
            },
            {
              "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": 3.01
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.47,
              "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": 5.47,
              "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": 97.8,
              "estimated_amount": 5.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.47,
              "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": 96,
              "estimated_amount": 5.25
            },
            {
              "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": 4.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.47,
              "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": 97.8,
              "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": 3.01
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.47,
              "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": 5.47,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.47,
              "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": 5.47,
              "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": 5.47,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.7
            },
            {
              "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": 3.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.47,
              "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": 5.47,
              "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": 5.47,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 97.8,
              "estimated_amount": 5.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.47,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.7
            }
          ]
        }
      ]
    },
    {
      "description": "1 Pc Pre Cut Convex 1 in Esteem",
      "code_information": [
        {
          "code": "PX-CH-CV4167-42",
          "type": "CDM"
        },
        {
          "code": "A5057",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 16.44,
          "discounted_cash": 10.69,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.97
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.97
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.44,
              "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": 16.44,
              "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": 95,
              "estimated_amount": 15.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 16.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.04
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 16.08
            },
            {
              "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": 9.04
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.44,
              "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": 95.4,
              "estimated_amount": 15.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.44,
              "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": 16.44,
              "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": 16.44,
              "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": 16.44,
              "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": 97.8,
              "estimated_amount": 16.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.62
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.7
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96.5,
              "estimated_amount": 15.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.44,
              "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": 16.44,
              "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": 16.44,
              "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": 16.44,
              "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": 95,
              "estimated_amount": 15.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.44,
              "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": 96,
              "estimated_amount": 15.78
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.62
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.59
            },
            {
              "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": 16.44,
              "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": 96,
              "estimated_amount": 15.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.68
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 16.08
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.62
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.7
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.04
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.7
            },
            {
              "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": 14.47
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.1,
              "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": 95.4,
              "estimated_amount": 15.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.04
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15.78
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 16.44,
              "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": 95,
              "estimated_amount": 15.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.68
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.44,
              "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": 16.44,
              "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": 96,
              "estimated_amount": 15.78
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.62
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.59
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.44,
              "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": 16.44,
              "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": 97.8,
              "estimated_amount": 16.08
            }
          ]
        }
      ]
    },
    {
      "description": "Intermittent Catheter 12 Fr 6 in Speedicath",
      "code_information": [
        {
          "code": "PX-CH-SW28512",
          "type": "CDM"
        },
        {
          "code": "A4351",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.43,
          "discounted_cash": 1.58,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.75
            },
            {
              "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 MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.32
            },
            {
              "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 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": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 1.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "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": 2.14
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.75,
              "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": 2.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.34
            },
            {
              "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": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.32
            },
            {
              "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": 95.4,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.32
            },
            {
              "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": "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 1.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.32
            },
            {
              "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": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.38
            },
            {
              "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 MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.32
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 2.07
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.34
            },
            {
              "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": 2.43,
              "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": 96,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.32
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.31
            },
            {
              "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": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "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": 95,
              "estimated_amount": 2.31
            },
            {
              "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 MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.32
            },
            {
              "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": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 97.8,
              "estimated_amount": 2.38
            },
            {
              "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": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.32
            },
            {
              "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": "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/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": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.75,
              "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": 95,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "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": 2.43,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "Interdry Ag 10 in X 144 In",
      "code_information": [
        {
          "code": "PX-CH-CO7910",
          "type": "CDM"
        },
        {
          "code": "A6250",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 107.15,
          "discounted_cash": 69.65,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 102.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 102.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 102.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 102.33
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 72.22
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 101.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 102.33
            },
            {
              "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": 94.29
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 101.79
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 36.43
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 101.79
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 102.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 58.93
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 101.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 107.15,
              "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": 107.15,
              "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": 107.15,
              "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": 107.15,
              "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": 107.15,
              "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": 107.15,
              "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": 107.15,
              "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": 107.15,
              "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": 107.15,
              "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": 95,
              "estimated_amount": 101.79
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 58.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 58.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 102.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 107.15,
              "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": 58.93
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.22
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 36.43
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 102.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 102.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 102.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 103.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 103.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 102.33
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 102.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 101.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 107.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 91.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 102.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 102.33
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.22
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 91.08
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 102.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 103.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 102.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 107.15,
              "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": 107.15,
              "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": 107.15,
              "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": 96.5,
              "estimated_amount": 103.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 102.33
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 107.15,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 91.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 104.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 104.79
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 36.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 58.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 102.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 102.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 102.22
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 101.79
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 91.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 101.79
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.22
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 91.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 102.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 103.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 103.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 107.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.22
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 102.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 102.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 102.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 102.22
            },
            {
              "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": 107.15,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 102.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 102.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 102.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 107.15,
              "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": 96,
              "estimated_amount": 102.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 101.79
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 102.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 58.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 101.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 101.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 103.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 102.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 102.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 107.15,
              "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": 107.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.22
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 102.22
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 102.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 104.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 104.79
            },
            {
              "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": 58.93
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 33.22
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 36.43
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 36.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 102.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 101.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 101.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 101.79
            },
            {
              "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": 107.15,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Fsed Creatinine",
      "code_information": [
        {
          "code": "PX-30101209",
          "type": "CDM"
        },
        {
          "code": "82565",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 9,
          "discounted_cash": 5.85,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.79,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.8
            },
            {
              "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 MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.79
            },
            {
              "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": 9,
              "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": 95.4,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 7.65
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.64
            },
            {
              "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": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.79
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.64
            },
            {
              "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": 4.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.64
            },
            {
              "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": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 6.07
            },
            {
              "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": 7.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.55
            },
            {
              "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": 5.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.55
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.79
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 9,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.64
            },
            {
              "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": 9,
              "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": 9,
              "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": 95,
              "estimated_amount": 8.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.79
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.55
            },
            {
              "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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.79,
              "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": 9,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.59
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.79
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.79
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.79,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.64
            },
            {
              "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": 9,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.8
            },
            {
              "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 HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.55
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 4.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.55
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.79
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.55
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.95
            }
          ]
        }
      ]
    },
    {
      "description": "HC Fsed Troponin Quantitative",
      "code_information": [
        {
          "code": "PX-30101222",
          "type": "CDM"
        },
        {
          "code": "84484",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 92,
          "discounted_cash": 59.8,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 87.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 50.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 87.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 31.28
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 31.28
            },
            {
              "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": 92,
              "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": 95.4,
              "estimated_amount": 87.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 87.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 87.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 28.52,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 87.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 87.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 87.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 28.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 87.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 87.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 88.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 92,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 88.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 28.52
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 78.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 50.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 31.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            },
            {
              "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": 92,
              "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": 97.8,
              "estimated_amount": 89.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 87.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 88.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 28.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 87.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 50.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 87.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 28.52
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 78.2
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 28.52,
              "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": 95.4,
              "estimated_amount": 87.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 88.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 50.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 87.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 28.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 87.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 87.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 87.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 88.78
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 28.52
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 87.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 89.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 92
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 78.2
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 28.52,
              "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": 95,
              "estimated_amount": 87.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 28.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 87.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 92,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 87.4
            },
            {
              "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": 50.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 87.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 87.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 87.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 87.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            },
            {
              "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": 80.96
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 78.2
            },
            {
              "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": 92,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 78.2
            },
            {
              "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": 92,
              "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": 97.8,
              "estimated_amount": 89.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 50.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 50.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 87.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 31.28
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 31.28
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 78.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            },
            {
              "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": 59.8
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 62.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 87.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 88.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 87.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 28.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 87.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 88.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 89.98
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 28.52
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 87.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 87.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 88.32
            }
          ]
        }
      ]
    },
    {
      "description": "HC Fsed Cbc With Diff",
      "code_information": [
        {
          "code": "PX-30500130",
          "type": "CDM"
        },
        {
          "code": "85025",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 31,
          "discounted_cash": 20.15,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.61
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 26.35
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.61
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10.54
            },
            {
              "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": 31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 29.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 29.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.61
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 30.32
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.45
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.61
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.61
            },
            {
              "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": "MOLINA 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": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 30.32
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 29.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 29.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            },
            {
              "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": 31,
              "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": 95,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.45
            },
            {
              "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": 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": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.61,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10.54
            },
            {
              "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": 95.4,
              "estimated_amount": 29.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.57
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            },
            {
              "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": 27.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 29.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.05
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.61,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 29.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 30.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.61
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.61
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.61,
              "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": 26.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 30.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 29.92
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 20.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 9.61
            },
            {
              "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": 20.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            },
            {
              "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": 31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 29.57
            },
            {
              "payer_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": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 10.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 29.45
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 29.76
            }
          ]
        }
      ]
    },
    {
      "description": "Interdry Ag 10 Inx 36 In",
      "code_information": [
        {
          "code": "PX-CH-CO7912",
          "type": "CDM"
        },
        {
          "code": "A6250",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 78.72,
          "discounted_cash": 51.17,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 75.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 75.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 75.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 43.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 74.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 74.78
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 74.78
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 74.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 75.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 75.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 75.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 75.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 78.72,
              "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": 78.72,
              "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": 96,
              "estimated_amount": 75.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 74.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 75.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 75.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 78.72,
              "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": 78.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 24.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 75.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 75.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 78.72,
              "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": 78.72,
              "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": 95,
              "estimated_amount": 74.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 43.3
            },
            {
              "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": 78.72,
              "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": 97.8,
              "estimated_amount": 76.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 74.78
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 24.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 26.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 75.1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 24.4
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 74.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 76.99
            },
            {
              "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": 43.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 43.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 24.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 75.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 75.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 75.18
            },
            {
              "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": 78.72,
              "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": 95.5,
              "estimated_amount": 75.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 75.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 75.18
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 75.57
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 24.4
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 74.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 74.78
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 26.76
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 75.57
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 24.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 75.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 43.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 74.78
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 26.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 75.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 75.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 75.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 75.96
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 75.57
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 74.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 78.72,
              "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": 78.72,
              "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": 66.91
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 66.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 78.72
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 24.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 74.78
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 26.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 66.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 75.1
            },
            {
              "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": 95.4,
              "estimated_amount": 75.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 75.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 76.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 43.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 75.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 75.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 78.72,
              "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": 95.4,
              "estimated_amount": 75.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 75.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 75.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 78.72,
              "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": 78.72,
              "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": 78.72,
              "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": 78.72,
              "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": 95,
              "estimated_amount": 74.78
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 24.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 24.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 75.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 75.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 75.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 78.72,
              "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": 78.72,
              "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": 78.72,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 76.99
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 66.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 75.18
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 24.4
            },
            {
              "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": 69.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 43.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 26.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 66.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 75.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 78.72,
              "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": 78.72,
              "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": 96,
              "estimated_amount": 75.57
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 75.57
            }
          ]
        }
      ]
    },
    {
      "description": "\"IV Tubing Admin Set W/Flow Reg. 92\"\" Dial Flow\"",
      "code_information": [
        {
          "code": "PX-CH-IMC-750E",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.98,
          "discounted_cash": 1.94,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.98,
              "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": 96,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 1.64
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 2.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.98,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 2.53
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.98,
              "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": 2.98,
              "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": 2.62
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.98,
              "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": 2.98,
              "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": 95.5,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.86
            },
            {
              "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": 2.98,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.98,
              "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": 95,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 2.84
            },
            {
              "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": 95.4,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.98,
              "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": 2.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.98,
              "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": 2.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 2.98,
              "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": 97.8,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.98,
              "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": 95.4,
              "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": 97.8,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.98,
              "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": 95,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 2.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.98,
              "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": 2.98,
              "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": 96,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 1.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 2.84
            }
          ]
        }
      ]
    },
    {
      "description": "Ide G130084 Converge Epi-Sense Coag System Visitrax",
      "code_information": [
        {
          "code": "PX-62400173",
          "type": "CDM"
        },
        {
          "code": "C1733",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 7020,
          "discounted_cash": 4563,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6697.08
            },
            {
              "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": 95.4,
              "estimated_amount": 6697.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6774.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6704.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6704.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 7020
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3861
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6739.2
            },
            {
              "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": 7020,
              "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": 7020,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2176.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6739.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6865.56
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5967
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3861
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6669
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6669
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2176.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2386.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5967
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6669
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5967
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6774.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6774.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7020,
              "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": 7020,
              "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": 96,
              "estimated_amount": 6739.2
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6739.2
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5967
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6697.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6697.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6697.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7020,
              "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": 7020,
              "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": 3861
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2176.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6669
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2176.2
            },
            {
              "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": 4563
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7020,
              "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": 95,
              "estimated_amount": 6669
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3861
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3861
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6697.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6774.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6704.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6704.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6697.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7020,
              "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": 7020,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2176.2
            },
            {
              "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": 3861
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2176.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6865.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6669
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6669
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2386.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6739.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6704.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7020,
              "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": 7020,
              "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": 7020,
              "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": 7020,
              "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": 3861
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2386.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6697.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6774.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6774.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6704.1
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7020,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6697.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6704.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7020,
              "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": 7020,
              "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": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2176.2,
              "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": 96,
              "estimated_amount": 6739.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6697.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6697.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7020,
              "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": 95,
              "estimated_amount": 6669
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6669
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2176.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6697.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6697.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6697.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7020,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2176.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6697.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6865.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 6774.3
            },
            {
              "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": 6177.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5967
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6697.08
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2176.2,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6669
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2386.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6669
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 6865.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6669
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7020,
              "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": 7020,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2176.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 6739.2
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 6669
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6697.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6704.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6704.1
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 4731.48
            },
            {
              "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": 7020,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5967
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2176.2
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2176.2,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2386.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 6697.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 6704.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7020,
              "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": 95,
              "estimated_amount": 6669
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7020,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "FLUDROCORTISONE 0.1 MG TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-10054",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.7,
          "discounted_cash": 3.7,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.47
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 67.4,
              "estimated_amount": 3.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.47
            },
            {
              "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": 5.02
            },
            {
              "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": 3.14
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 5.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.94
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.42
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 97.8,
              "estimated_amount": 5.57
            },
            {
              "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": 3.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.42
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.42
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 97.8,
              "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": 4.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.42
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.94
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 3.14
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.42
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.44
            },
            {
              "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": 95.4,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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": 3.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.39
            }
          ]
        }
      ]
    },
    {
      "description": "HYDROCORTISONE 5 MG TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-10209",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.45,
          "discounted_cash": 3.54,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.69
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.85
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.5,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.5,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.18
            },
            {
              "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 (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.33
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.69
            },
            {
              "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": 95.4,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.16
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.33
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.16
            },
            {
              "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": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.18
            },
            {
              "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": 3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "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": 95,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.16
            },
            {
              "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": 4.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.18
            }
          ]
        }
      ]
    },
    {
      "description": "KETOCONAZOLE 2 % TOPICAL CREAM",
      "drug_information": {
        "unit": "15",
        "type": "GR"
      },
      "code_information": [
        {
          "code": "RX-10368",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 96.2,
          "discounted_cash": 62.53,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 91.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 91.77
            },
            {
              "payer_name": "AETNA [310]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 91.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 92.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 91.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 91.01
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.82
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.82
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 91.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 91.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 91.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 91.01
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 81.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 94.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 91.39
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 92.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 94.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 91.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 91.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 91.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 91.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 91.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 92.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 91.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 91.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 91.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 91.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 91.01
            },
            {
              "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": 84.66
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 92.35
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 91.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 91.39
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 81.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 91.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 91.39
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 92.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 92.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 91.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 94.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 94.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 91.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 91.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 91.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 91.01
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 92.35
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 91.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 91.01
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 91.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 96.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 81.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 52.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 52.91
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 91.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 91.77
            },
            {
              "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": 52.91
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 32.71
            },
            {
              "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": 95.4,
              "estimated_amount": 91.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 91.77
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 64.84
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 81.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 92.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 91.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 91.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.82
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 32.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 91.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 91.87
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 91.39
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 91.39
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 32.71
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 32.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 91.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 91.01
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.82
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.82
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 92.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 91.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 52.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 92.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 91.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 52.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 91.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.82
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 91.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 91.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 92.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 91.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 91.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 91.01
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 52.91
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.82
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 81.77
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 32.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 92.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 92.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 91.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 91.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 91.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 91.01
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 92.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 52.91
            },
            {
              "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": 62.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 91.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 91.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 91.39
            }
          ]
        }
      ]
    },
    {
      "description": "LORAZEPAM 2 MG/ML INJECTION SOLUTION",
      "drug_information": {
        "unit": "0.25",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-10467",
          "type": "CDM"
        },
        {
          "code": "J2060",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 34.3,
          "discounted_cash": 22.29,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 32.72
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 34.3,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.63,
              "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": 95,
              "estimated_amount": 32.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 32.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 32.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 33.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 32.76
            },
            {
              "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": 34.3,
              "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": 34.3,
              "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": 29.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 32.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 32.59
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 34.3,
              "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": 96.5,
              "estimated_amount": 33.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 32.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 32.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.63
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.63
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.24,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.24,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 32.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 32.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 32.76
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 23.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.25,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.24,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.63
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.63
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 32.59
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.16
            },
            {
              "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": 34.3,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 32.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 32.72
            },
            {
              "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": 95.4,
              "estimated_amount": 32.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 32.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.3,
              "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": 95.4,
              "estimated_amount": 32.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 32.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 32.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 32.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.3,
              "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": 95,
              "estimated_amount": 32.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18.87
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.63,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 32.93
            },
            {
              "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": 34.3,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 32.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 32.59
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.63
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 32.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 32.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.3,
              "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": 34.3,
              "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": 29.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 32.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.3,
              "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": 34.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 32.93
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 32.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 32.59
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.63,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 32.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 33.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.3,
              "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": 18.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18.87
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 32.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 32.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.63
            },
            {
              "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": 34.3,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 32.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 32.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 32.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.24,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 33.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 33.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 32.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 32.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 32.93
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 34.3,
              "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": 30.18
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 32.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.63
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 32.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18.87
            },
            {
              "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": 22.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 32.93
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 32.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 32.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 32.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 33.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 33.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.3,
              "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": 34.3,
              "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": 18.87
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.63
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 32.59
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.16
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.5,
              "estimated_amount": 32.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.3,
              "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": 34.3,
              "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": 34.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.63
            },
            {
              "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": 18.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 32.59
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.16
            }
          ],
          "minimum": 2.25,
          "maximum": 6.24
        }
      ]
    },
    {
      "description": "DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE",
      "drug_information": {
        "unit": "1",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-105502",
          "type": "CDM"
        },
        {
          "code": "J0897",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8742.45,
          "discounted_cash": 5682.59,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8340.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8340.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8340.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8349.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8742.45,
              "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": 95,
              "estimated_amount": 8305.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9824.1,
              "estimated_amount": 9824.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4808.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2972.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8340.3
            },
            {
              "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": 8742.45,
              "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": 7693.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9824.1,
              "estimated_amount": 9824.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8305.33
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8305.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4808.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8305.33
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2710.16,
              "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": 8742.45,
              "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": 8742.45,
              "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": 8742.45,
              "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": 7431.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8340.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8340.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8436.46
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8305.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4808.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4808.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8392.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9824.1,
              "estimated_amount": 9824.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8305.33
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2710.16,
              "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": 5682.59
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8742.45,
              "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": 8742.45,
              "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": 8742.45,
              "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": 95.5,
              "estimated_amount": 8349.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8349.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8392.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8392.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8340.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8340.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8349.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8742.45,
              "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": 8742.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2710.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8305.33
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7431.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8305.33
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2710.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8436.46
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8305.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4808.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2972.43
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7431.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8340.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8340.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8742.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2710.16,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8340.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8340.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8349.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8742.45,
              "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": 7431.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8305.33
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2710.16
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2710.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8305.33
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2972.43
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7431.08
            },
            {
              "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": 8742.45,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8340.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8349.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8742.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2710.16
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8742.45,
              "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": 4808.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8305.33
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2710.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8436.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8436.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8742.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2710.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8392.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8742.45,
              "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": 8742.45,
              "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": 8742.45,
              "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": 67.4,
              "estimated_amount": 5892.41
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8305.33
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2972.43
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2710.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8340.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8436.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8436.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8436.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8349.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8349.04
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2710.16
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8392.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3536.68,
              "estimated_amount": 3536.68
            },
            {
              "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": 4808.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7431.08
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2972.43
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2710.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8340.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8340.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8349.04
            },
            {
              "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": 8742.45,
              "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": 96,
              "estimated_amount": 8392.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8392.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8742.45,
              "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": 95.4,
              "estimated_amount": 8340.3
            },
            {
              "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": 95.4,
              "estimated_amount": 8340.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8742.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9824.1,
              "estimated_amount": 9824.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8305.33
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8742.45,
              "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": 95.5,
              "estimated_amount": 8349.04
            }
          ],
          "minimum": 3536.68,
          "maximum": 9824.1
        }
      ]
    },
    {
      "description": "METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION",
      "drug_information": {
        "unit": "1",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-10571",
          "type": "CDM"
        },
        {
          "code": "J2210",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 132.15,
          "discounted_cash": 85.9,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 126.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 127.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 126.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 126.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 132.15,
              "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": 132.15,
              "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": 132.15,
              "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": 96,
              "estimated_amount": 126.86
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 125.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.84,
              "estimated_amount": 48.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 72.68
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 126.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 132.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 135.66,
              "estimated_amount": 135.66
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 40.97
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 44.93
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 44.93
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 132.15,
              "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": 132.15,
              "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": 72.68
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 40.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 126.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 126.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 126.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 126.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 126.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 132.15,
              "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": 96.5,
              "estimated_amount": 127.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 126.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 132.15,
              "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": 132.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 40.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 72.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 125.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 125.54
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 126.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 127.52
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 40.97
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 40.97
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 40.97,
              "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": 72.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 125.54
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 40.97,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 126.07
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 126.86
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 125.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 126.07
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 126.86
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 125.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 112.33
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 112.33
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 40.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 126.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 127.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 127.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 126.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 132.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 40.97
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 125.54
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 112.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 125.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 125.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 126.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 126.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 126.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 126.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 126.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 126.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 126.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 132.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 135.66,
              "estimated_amount": 135.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 125.54
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 40.97,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 40.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 72.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 125.54
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 40.97
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 112.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 126.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 126.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 126.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 127.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 132.15,
              "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": 72.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 125.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 112.33
            },
            {
              "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": 85.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 126.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 126.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 127.52
            },
            {
              "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": 132.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 135.66,
              "estimated_amount": 135.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 132.15,
              "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": 132.15,
              "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": 67.4,
              "estimated_amount": 89.07
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 112.33
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 44.93
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 44.93
            },
            {
              "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": 132.15,
              "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": 95.4,
              "estimated_amount": 126.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 132.15,
              "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": 96,
              "estimated_amount": 126.86
            },
            {
              "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": 132.15,
              "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": 116.29
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 40.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 125.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 126.07
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 44.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 132.15,
              "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": 95.4,
              "estimated_amount": 126.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 132.15,
              "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": 132.15,
              "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": 132.15,
              "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": 72.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 126.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 132.15,
              "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": 95,
              "estimated_amount": 125.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 135.66,
              "estimated_amount": 135.66
            }
          ],
          "minimum": 48.84,
          "maximum": 135.66
        }
      ]
    },
    {
      "description": "ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLUTION",
      "drug_information": {
        "unit": "3",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-105940",
          "type": "CDM"
        },
        {
          "code": "63600006",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 295.6,
          "discounted_cash": 192.14,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 282
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 282
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 285.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 282.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 279.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 283.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 280.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 280.82
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 100.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 283.78
            },
            {
              "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": 95.4,
              "estimated_amount": 282
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 279.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 279.64
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 280.82
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 100.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 280.82
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 91.64
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 283.78
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 283.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 285.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 279.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 279.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 282
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 282
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 282.3
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 251.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295.6,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 162.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 280.82
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 100.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 162.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 251.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295.6,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 280.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 282
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 285.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 282.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 282.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 279.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 279.64
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 91.64
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 91.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 283.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 282
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 282
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 285.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 162.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 251.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 280.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 280.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 282
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 282.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 279.64
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 280.82
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 91.64
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 91.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 282.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 279.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 279.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 279.64
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 280.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 282
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 282
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 282.3
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 91.64
            },
            {
              "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": 162.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 162.58
            },
            {
              "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": 192.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 280.82
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 91.64
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 251.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 282
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 91.64
            },
            {
              "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": 260.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 282
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 283.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 282
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 279.64
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 199.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 282
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 282
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 282
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 285.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 279.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 162.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295.6,
              "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": 295.6,
              "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": 96.5,
              "estimated_amount": 285.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 282.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 282.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 279.64
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 280.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 282
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 285.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 282.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 279.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 279.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 283.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 162.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 280.82
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 100.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 91.64
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 91.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 279.64
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 251.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295.6,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 280.82
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 100.5
            }
          ]
        }
      ]
    },
    {
      "description": "MITOMYCIN 40 MG INTRAVENOUS SOLUTION",
      "drug_information": {
        "unit": ".04",
        "type": "GR"
      },
      "code_information": [
        {
          "code": "RX-10631",
          "type": "CDM"
        },
        {
          "code": "J9280",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4996.8,
          "discounted_cash": 3247.92,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4766.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4821.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4821.91
            },
            {
              "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": 4397.18
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4247.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1549.01
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4996.8,
              "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": 95.4,
              "estimated_amount": 4766.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4996.8,
              "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": 96,
              "estimated_amount": 4796.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3485.56,
              "estimated_amount": 3485.56
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4247.28
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1698.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2748.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2748.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4766.95
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 3367.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4766.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4766.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4821.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4996.8,
              "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": 96,
              "estimated_amount": 4796.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4746.96
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4247.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2748.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1549.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4746.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4796.93
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4796.93
            },
            {
              "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": 4996.8,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4771.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4996.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3485.56,
              "estimated_amount": 3485.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4746.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1549.01
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4247.28
            },
            {
              "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": 4996.8,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4247.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4996.8,
              "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": 4996.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1549.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4746.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3485.56,
              "estimated_amount": 3485.56
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4247.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1549.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4746.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4766.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4996.8,
              "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": 4996.8,
              "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": 4996.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1549.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2748.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4766.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4766.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4771.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4996.8,
              "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": 4996.8,
              "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": 4996.8,
              "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": 95.4,
              "estimated_amount": 4766.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4766.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4796.93
            },
            {
              "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": 4996.8,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4746.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2748.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4746.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4746.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1698.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4746.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4766.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4996.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1549.01
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4996.8,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4796.93
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1549.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 1549.01,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4766.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4821.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4766.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4771.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4996.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1549.01
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1549.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4766.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4766.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4766.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4821.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4996.8,
              "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": 4996.8,
              "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": 95,
              "estimated_amount": 4746.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1254.8,
              "estimated_amount": 1254.8
            },
            {
              "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": 2748.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4746.96
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1698.91
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1549.01
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1549.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4746.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1698.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4821.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4771.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4771.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4996.8,
              "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": 3247.92
            },
            {
              "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": 4996.8,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4766.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4821.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4771.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4771.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4771.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4996.8,
              "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": 2748.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4746.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1698.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4766.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4771.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4771.94
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4746.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3485.56,
              "estimated_amount": 3485.56
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4796.93
            }
          ],
          "minimum": 1254.8,
          "maximum": 3485.56
        }
      ]
    },
    {
      "description": "LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION",
      "drug_information": {
        "unit": "50",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-106363",
          "type": "CDM"
        },
        {
          "code": "25000049",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 51.3,
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              "estimated_amount": 48.94
            },
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              "estimated_amount": 49.5
            },
            {
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            },
            {
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            },
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            {
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            },
            {
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              "payer_name": "GREATWEST [550]",
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            },
            {
              "payer_name": "BEECHSTREET [350]",
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              "estimated_amount": 49.25
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            },
            {
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              "estimated_amount": 49.25
            },
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              "payer_name": "AETNA [310]",
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              "estimated_amount": 48.94
            },
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              "payer_name": "MMO [485]",
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            {
              "payer_name": "UHC [625]",
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            {
              "payer_name": "UHC [625]",
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            },
            {
              "payer_name": "UHC [625]",
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              "estimated_amount": 48.53
            },
            {
              "payer_name": "EMERALD [395]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 48.74
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              "payer_name": "HEALTHREACH [540]",
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              "estimated_amount": 28.22
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
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              "estimated_amount": 17.44
            },
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              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 28.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 48.74
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
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              "estimated_amount": 17.44
            },
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              "estimated_amount": 15.9
            },
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              "payer_name": "AETNA [310]",
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            },
            {
              "payer_name": "MMO [485]",
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              "estimated_amount": 48.99
            },
            {
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              "estimated_amount": 48.53
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              "payer_name": "GREATWEST [550]",
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              "standard_charge_percentage": 96,
              "estimated_amount": 49.25
            },
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              "payer_name": "COVENTRY [406]",
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              "estimated_amount": 43.61
            },
            {
              "payer_name": "MMO [485]",
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              "estimated_amount": 48.99
            },
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              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
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              "estimated_amount": 15.9
            },
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              "payer_name": "HEALTHREACH [540]",
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              "estimated_amount": 28.22
            },
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              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 48.74
            },
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              "payer_name": "HEALTHSMART [493]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 48.74
            },
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            },
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              "payer_name": "ANTHEM [335]",
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              "estimated_amount": 50.17
            },
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              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 48.74
            },
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              "payer_name": "AETNA MANAGED MEDICARE [314]",
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              "standard_charge_percentage": 34,
              "estimated_amount": 17.44
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
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              "estimated_amount": 15.9
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 48.94
            },
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              "estimated_amount": 49.5
            },
            {
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              "estimated_amount": 48.53
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 94.6,
              "estimated_amount": 48.53
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 94.6,
              "estimated_amount": 48.53
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
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              "standard_charge_percentage": 31,
              "estimated_amount": 15.9
            },
            {
              "payer_name": "FIRST HEALTH [408]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 48.74
            },
            {
              "payer_name": "ANTHEM [335]",
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              "standard_charge_percentage": 97.8,
              "estimated_amount": 50.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
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              "standard_charge_percentage": 95.5,
              "estimated_amount": 48.99
            },
            {
              "payer_name": "MMO [485]",
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              "estimated_amount": 48.99
            },
            {
              "payer_name": "UHC [625]",
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              "estimated_amount": 48.53
            },
            {
              "payer_name": "GREATWEST [550]",
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              "standard_charge_percentage": 96,
              "estimated_amount": 49.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
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              "standard_charge_percentage": 31,
              "estimated_amount": 15.9
            },
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              "payer_name": "AETNA MANAGED MEDICARE [314]",
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              "estimated_amount": 17.44
            },
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              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 28.22
            },
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              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 48.94
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 48.94
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 48.94
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 48.94
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 95.5,
              "estimated_amount": 48.99
            },
            {
              "payer_name": "ANTHEM [335]",
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              "standard_charge_percentage": 100,
              "estimated_amount": 51.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 28.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 28.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 48.74
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
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              "standard_charge_percentage": 34,
              "estimated_amount": 17.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
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              "standard_charge_percentage": 96.5,
              "estimated_amount": 49.5
            },
            {
              "payer_name": "UHC [625]",
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              "estimated_amount": 48.53
            },
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              "payer_name": "AETNA [310]",
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              "estimated_amount": 48.94
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 96.5,
              "estimated_amount": 49.5
            },
            {
              "payer_name": "MMO [485]",
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            },
            {
              "payer_name": "UHC [625]",
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            },
            {
              "payer_name": "UHC [625]",
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              "estimated_amount": 48.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 48.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 48.74
            },
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              "payer_name": "PARAMOUNT [555]",
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              "estimated_amount": 43.61
            },
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              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 48.94
            },
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              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
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              "standard_charge_percentage": 88,
              "estimated_amount": 45.14
            },
            {
              "payer_name": "AHPO [305]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 48.74
            },
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              "payer_name": "ANTHEM [335]",
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              "standard_charge_percentage": 97.8,
              "estimated_amount": 50.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
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            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 43.61
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 48.94
            },
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              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
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              "estimated_amount": 15.9
            },
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              "payer_name": "CIGNA [370]",
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            },
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              "payer_name": "MMO [485]",
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              "estimated_amount": 48.99
            },
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              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 48.74
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
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              "standard_charge_percentage": 31,
              "estimated_amount": 15.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
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              "standard_charge_percentage": 96,
              "estimated_amount": 49.25
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 48.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 48.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 48.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 48.99
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 48.74
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 49.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 15.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 15.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 48.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 48.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 48.53
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 15.9
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 48.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 49.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 48.99
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 34.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 50.17
            },
            {
              "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": 33.35
            }
          ]
        }
      ]
    },
    {
      "description": "DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION",
      "drug_information": {
        "unit": "1.7",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-106804",
          "type": "CDM"
        },
        {
          "code": "J0897",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 16051.95,
          "discounted_cash": 10433.77,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15313.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15490.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16051.95,
              "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": 16051.95,
              "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": 16051.95,
              "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": 14125.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15249.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5457.66
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13644.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19648.2,
              "estimated_amount": 19648.2
            },
            {
              "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": 8828.57
            },
            {
              "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": 16051.95,
              "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": 95.5,
              "estimated_amount": 15329.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15329.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16051.95,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4976.1
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15249.35
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13644.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16051.95,
              "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": 16051.95,
              "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": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4976.1,
              "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": 8828.57
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4976.1,
              "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": 10433.77
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15409.87
            },
            {
              "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": 16051.95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15329.61
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15249.35
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13644.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8828.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15313.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15313.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15490.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16051.95,
              "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": 95.5,
              "estimated_amount": 15329.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15329.61
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4976.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13644.16
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13644.16
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4976.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15313.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15329.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16051.95,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 4976.1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15249.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15313.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15490.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15329.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15329.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16051.95,
              "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": 16051.95,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4976.1
            },
            {
              "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": 16051.95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15313.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15313.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15313.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16051.95,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19648.2,
              "estimated_amount": 19648.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8828.57
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4976.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15409.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15249.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15249.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4976.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4976.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15313.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15490.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15329.61
            },
            {
              "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": 16051.95,
              "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": 16051.95,
              "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": 16051.95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15249.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15249.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15249.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15313.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16051.95,
              "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": 16051.95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15249.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15313.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19648.2,
              "estimated_amount": 19648.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8828.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8828.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15490.13
            },
            {
              "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": 16051.95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15313.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15313.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16051.95,
              "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": 67.4,
              "estimated_amount": 10819.01
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15409.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15249.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5457.66
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5457.66
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5457.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15313.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15313.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15490.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15329.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16051.95,
              "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": 95.4,
              "estimated_amount": 15313.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15313.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16051.95,
              "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": 96,
              "estimated_amount": 15409.87
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15409.87
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15409.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7073.35,
              "estimated_amount": 7073.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19648.2,
              "estimated_amount": 19648.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15249.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15249.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4976.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15249.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5457.66
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 15409.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15313.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 15490.13
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4976.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8828.57
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 4976.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13644.16
            }
          ],
          "minimum": 7073.35,
          "maximum": 19648.2
        }
      ]
    },
    {
      "description": "BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION",
      "drug_information": {
        "unit": ".5",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-108065",
          "type": "CDM"
        },
        {
          "code": "J9035",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 483.05,
          "discounted_cash": 313.98,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 460.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 460.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 466.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 461.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 483.05,
              "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": 483.05,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 964.08,
              "estimated_amount": 964.08
            },
            {
              "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": 265.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 458.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 149.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 164.24
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 458.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 460.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 460.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 461.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 483.05,
              "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": 425.08
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 458.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 964.08,
              "estimated_amount": 964.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 458.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 463.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 964.08,
              "estimated_amount": 964.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 458.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 410.59
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 410.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 460.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 460.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 466.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 466.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 461.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 149.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 466.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 466.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 483.05,
              "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": 483.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 463.73
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 149.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 463.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 347.07,
              "estimated_amount": 347.07
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 149.75
            },
            {
              "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": 313.98
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 463.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 461.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 483.05,
              "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": 483.05,
              "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": 265.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 458.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 410.59
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 149.75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 460.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 461.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 460.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 460.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 483.05,
              "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": 265.68
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 164.24
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 149.75,
              "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": 95,
              "estimated_amount": 458.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 149.75
            },
            {
              "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": 483.05,
              "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": 483.05,
              "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": 483.05,
              "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": 483.05,
              "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": 410.59
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 149.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 461.31
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 458.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 460.83
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 325.58
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 410.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 265.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 265.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 458.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 164.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 460.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 466.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 483.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 149.75
            },
            {
              "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": 483.05,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 460.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 460.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 460.83
            },
            {
              "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": 483.05,
              "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": 483.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 149.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 410.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 964.08,
              "estimated_amount": 964.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 265.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 483.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 149.75
            },
            {
              "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": 483.05,
              "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": 95.5,
              "estimated_amount": 461.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 483.05,
              "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": 483.05,
              "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": 483.05,
              "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": 96,
              "estimated_amount": 463.73
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 149.75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 458.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 458.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 164.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 265.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 460.83
            },
            {
              "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": 95.4,
              "estimated_amount": 460.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 483.05,
              "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": 96,
              "estimated_amount": 463.73
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 463.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 460.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 461.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 461.31
            },
            {
              "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": 483.05,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 458.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 458.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 458.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 460.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 466.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 461.31
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 149.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 164.24
            }
          ],
          "minimum": 347.07,
          "maximum": 964.08
        }
      ]
    },
    {
      "description": "AMIKACIN 500 MG/2 ML INJECTION SOLUTION",
      "drug_information": {
        "unit": "2",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-108131",
          "type": "CDM"
        },
        {
          "code": "J0278",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 44.05,
          "discounted_cash": 28.63,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.02
            },
            {
              "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": 95.4,
              "estimated_amount": 42.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.07
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.66,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 41.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 44.05,
              "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": 44.05,
              "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": 44.05,
              "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": 24.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 41.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 42.29
            },
            {
              "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": 44.05,
              "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": 24.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 42.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.07
            },
            {
              "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": 38.76
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 37.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.07
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 42.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 41.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.66
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 14.98
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 37.44
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 14.98
            },
            {
              "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": 44.05,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.95,
              "estimated_amount": 27.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 24.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.66
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 37.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 42.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 44.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.66
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.66
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 41.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 14.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 44.05,
              "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": 44.05,
              "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": 96.5,
              "estimated_amount": 42.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 24.23
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 44.05,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 44.05,
              "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": 67.4,
              "estimated_amount": 29.69
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 41.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.95,
              "estimated_amount": 27.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 42.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 42.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 42.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.07
            },
            {
              "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": 44.05,
              "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": 44.05,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.95,
              "estimated_amount": 27.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 41.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.66,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.66,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.95,
              "estimated_amount": 27.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 24.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 41.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.66
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 37.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 44.05,
              "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": 95,
              "estimated_amount": 41.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 14.98
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 42.29
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 42.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 44.05,
              "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": 95,
              "estimated_amount": 41.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 44.05,
              "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": 44.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.66
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 42.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 41.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 42.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 44.05,
              "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": 96,
              "estimated_amount": 42.29
            },
            {
              "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": 44.05,
              "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": 24.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 24.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 44.05,
              "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": 95,
              "estimated_amount": 41.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 44.05,
              "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": 44.05,
              "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": 44.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 42.29
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 37.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.06,
              "estimated_amount": 10.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 41.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 37.44
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 42.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 42.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 44.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 41.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.66
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 41.85
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 28.63
            }
          ],
          "minimum": 10.06,
          "maximum": 27.95
        }
      ]
    },
    {
      "description": "IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION",
      "drug_information": {
        "unit": "10",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-108955",
          "type": "CDM"
        },
        {
          "code": "J9228",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 36183.6,
          "discounted_cash": 23519.34,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34519.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34519.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36183.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 34736.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34374.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34374.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34519.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19900.98
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 34736.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34519.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34519.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34917.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34555.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34555.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34555.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34555.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36183.6,
              "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": 36183.6,
              "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": 96,
              "estimated_amount": 34736.26
            },
            {
              "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": 31841.57
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34374.42
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34374.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34917.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36183.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56130.75,
              "estimated_amount": 56130.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19900.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34374.42
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 36183.6,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56130.75,
              "estimated_amount": 56130.75
            },
            {
              "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": 19900.98
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30756.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34519.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34519.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36183.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11216.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19900.98
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 34736.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34519.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34917.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36183.6,
              "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": 36183.6,
              "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": 95.4,
              "estimated_amount": 34519.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34519.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34555.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34374.42
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30756.06
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 11216.92,
              "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": 95.5,
              "estimated_amount": 34555.34
            },
            {
              "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": 36183.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20207.07,
              "estimated_amount": 20207.07
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11216.92
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30756.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34917.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34555.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36183.6,
              "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": 36183.6,
              "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": 36183.6,
              "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": 36183.6,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11216.92
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30756.06
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34374.42
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12302.42
            },
            {
              "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": 23519.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19900.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19900.98
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11216.92
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11216.92
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12302.42
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30756.06
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12302.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34917.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34917.17
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 34736.26
            },
            {
              "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": 36183.6,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34374.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34374.42
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 11216.92,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11216.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34519.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34519.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34555.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36183.6,
              "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": 36183.6,
              "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": 36183.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56130.75,
              "estimated_amount": 56130.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30756.06
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 34736.26
            },
            {
              "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": 36183.6,
              "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": 95.4,
              "estimated_amount": 34519.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34519.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34519.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34519.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34555.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36183.6,
              "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": 95,
              "estimated_amount": 34374.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11216.92
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12302.42
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12302.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56130.75,
              "estimated_amount": 56130.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34374.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34917.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36183.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 11216.92,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 34519.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36183.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11216.92
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11216.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 34736.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19900.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34374.42
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 11216.92
            },
            {
              "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": 95.4,
              "estimated_amount": 34519.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 34555.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36183.6,
              "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": 67.4,
              "estimated_amount": 24387.75
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34374.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 34374.42
            },
            {
              "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": 36183.6,
              "additional_payer_notes": "OUTPATIENT"
            }
          ],
          "minimum": 20207.07,
          "maximum": 56130.75
        }
      ]
    },
    {
      "description": "POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK",
      "drug_information": {
        "unit": "100",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-11076",
          "type": "CDM"
        },
        {
          "code": "J3480",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 69.65,
          "discounted_cash": 45.27,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 66.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 66.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 66.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 38.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 66.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 66.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 69.65,
              "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": 96,
              "estimated_amount": 66.86
            },
            {
              "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": 69.65,
              "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": 95,
              "estimated_amount": 66.17
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.59
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.59
            },
            {
              "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": 69.65,
              "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": 61.29
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 66.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 67.21
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.59
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 66.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.17
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.59
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 23.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 67.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 66.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 66.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 69.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.59
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.59
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 69.65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 38.31
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 66.45
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.15,
              "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": 38.31
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.17
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 38.31
            },
            {
              "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": 45.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 66.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 66.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 66.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 66.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 66.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 67.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 66.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 66.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 69.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.57,
              "estimated_amount": 2.57
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 66.86
            },
            {
              "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": 69.65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 67.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 69.65,
              "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": 67.4,
              "estimated_amount": 46.94
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 66.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 67.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 67.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 69.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.15,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 38.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.17
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.59,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.59,
              "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": 38.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 23.68
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 23.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 69.65,
              "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": 69.65,
              "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": 38.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.17
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 66.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 66.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 67.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 66.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 69.65,
              "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": 69.65,
              "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": 96,
              "estimated_amount": 66.86
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 66.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 69.65,
              "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": 69.65,
              "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": 69.65,
              "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": 95.4,
              "estimated_amount": 66.45
            },
            {
              "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": 95.4,
              "estimated_amount": 66.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 66.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 69.65,
              "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": 69.65,
              "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": 96,
              "estimated_amount": 66.86
            },
            {
              "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": 69.65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 23.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.17
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 66.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 66.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 69.65,
              "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": 69.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 66.86
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 66.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 69.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.15,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 23.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 66.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 66.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 69.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.59,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.15,
              "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": 95,
              "estimated_amount": 66.17
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.59
            }
          ],
          "minimum": 2.57,
          "maximum": 7.15
        }
      ]
    },
    {
      "description": "PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-11138",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 28.45,
          "discounted_cash": 18.49,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 27.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 27.14
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 27.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 27.82
            },
            {
              "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": 15.65
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 9.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 27.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 27.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 26.91
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8.82
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 27.03
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 27.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 27.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 27.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 27.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 27.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8.82
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 9.67
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 27.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 27.14
            },
            {
              "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": 25.04
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 27.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 27.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 27.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 27.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 26.91
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 27.31
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 27.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 27.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 27.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 27.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 27.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 27.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 27.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 9.67
            },
            {
              "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": 95.4,
              "estimated_amount": 27.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 27.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 26.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 26.91
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 27.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 27.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 27.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 27.03
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 27.03
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24.18
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8.82
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 27.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 27.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 27.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 26.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 27.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 27.17
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8.82
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 19.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 27.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 27.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 26.91
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8.82
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 27.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 27.82
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 9.67
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 27.03
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 27.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 27.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 94.6,
              "estimated_amount": 26.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 27.03
            },
            {
              "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": 18.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 27.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 26.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 27.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 27.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 27.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 26.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 26.91
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 27.31
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 27.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 27.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 27.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 26.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 26.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 26.91
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 9.67
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 27.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 27.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 26.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 26.91
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 27.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 26.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 26.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 28.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 27.45
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 8.82
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 27.03
            }
          ]
        }
      ]
    },
    {
      "description": "SUCRALFATE 1 GRAM TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-11442",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.5,
          "discounted_cash": 3.57,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 96,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
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              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "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": 4.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 4.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 97.8,
              "estimated_amount": 5.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.03
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.68
            },
            {
              "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": 3.58
            },
            {
              "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": 3.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "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": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.38
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "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": "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": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 95,
              "estimated_amount": 5.23
            }
          ]
        }
      ]
    },
    {
      "description": "METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION",
      "drug_information": {
        "unit": "10",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-117032",
          "type": "CDM"
        },
        {
          "code": "J9260",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 99.9,
          "discounted_cash": 64.93,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 95.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 95.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 95.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 99.9,
              "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": 96,
              "estimated_amount": 95.9
            },
            {
              "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": 99.9,
              "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": 54.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 94.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 95.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 95.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 99.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.97
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 67.33
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 94.91
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.97
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 84.92
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 83.53,
              "estimated_amount": 83.53
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 33.97
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 84.92
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 95.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 96.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 96.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 95.4
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 94.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 95.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 99.9,
              "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": 99.9,
              "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": 99.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 54.95
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.97,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 83.53,
              "estimated_amount": 83.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 83.53,
              "estimated_amount": 83.53
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 33.97
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 84.92
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.9
            },
            {
              "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": 99.9,
              "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": 96.5,
              "estimated_amount": 96.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 95.4
            },
            {
              "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": 99.9,
              "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": 99.9,
              "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": 87.91
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 94.91
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.9
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 94.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 95.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 95.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 96.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 99.9,
              "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": 84.92
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 94.91
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 84.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 94.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 94.91
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.97
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 33.97
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 95.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 95.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 95.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 99.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.97
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.97,
              "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": 84.92
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.97
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 95.3
            },
            {
              "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": 95.4,
              "estimated_amount": 95.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 95.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 95.3
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 99.9,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 54.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 94.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 83.53,
              "estimated_amount": 83.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.07,
              "estimated_amount": 30.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 94.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 94.91
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.97
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 64.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 95.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 99.9,
              "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": 99.9,
              "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": 95,
              "estimated_amount": 94.91
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 33.97
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 99.9,
              "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": 99.9,
              "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": 96,
              "estimated_amount": 95.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 96.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 99.9,
              "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.",
              "standard_charge_percentage": 31,
              "estimated_amount": 30.97,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 95.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 95.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 95.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 95.3
            },
            {
              "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": 54.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 54.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 54.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 95.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 33.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 95.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 95.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 99.9,
              "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": 99.9,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 94.91
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 95.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 95.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 96.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 96.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 95.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 99.9,
              "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": 99.9,
              "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": 99.9,
              "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": 54.95
            },
            {
              "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": 99.9,
              "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": 95,
              "estimated_amount": 94.91
            }
          ],
          "minimum": 30.07,
          "maximum": 83.53
        }
      ]
    },
    {
      "description": "SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION",
      "drug_information": {
        "unit": "25",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-121872",
          "type": "CDM"
        },
        {
          "code": "J3490",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 90.65,
          "discounted_cash": 58.92,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 86.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 87.48
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 87.02
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 86.12
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 28.1,
              "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": 96,
              "estimated_amount": 87.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90.65,
              "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": 90.65,
              "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": 67.4,
              "estimated_amount": 61.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 86.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 30.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90.65,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 86.12
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 86.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 77.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 86.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 28.1
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 90.65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 86.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90.65,
              "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": 96,
              "estimated_amount": 87.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90.65,
              "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": 90.65,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 86.12
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 28.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 86.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 86.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 86.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 49.86
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 28.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 30.82
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 77.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 86.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 87.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 86.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90.65,
              "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": 90.65,
              "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": 95.4,
              "estimated_amount": 86.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 86.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 86.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90.65,
              "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": 90.65,
              "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": 90.65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 28.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90.65,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 49.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 49.86
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 30.82
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 86.12
            },
            {
              "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": 58.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 86.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 87.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90.65,
              "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": 49.86
            },
            {
              "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": 49.86
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 28.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 28.1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 30.82
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 87.02
            },
            {
              "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": 90.65,
              "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": 90.65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 86.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 86.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 86.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90.65,
              "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": 90.65,
              "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": 95.4,
              "estimated_amount": 86.48
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 28.1
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 28.1,
              "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": 95,
              "estimated_amount": 86.12
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 86.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 49.86
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 28.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 28.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 28.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 77.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 30.82
            },
            {
              "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": 90.65,
              "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": 95.5,
              "estimated_amount": 86.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90.65,
              "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": 90.65,
              "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": 90.65,
              "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": 95,
              "estimated_amount": 86.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 86.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 77.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 86.48
            },
            {
              "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": 95.4,
              "estimated_amount": 86.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 87.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90.65,
              "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": 90.65,
              "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": 95,
              "estimated_amount": 86.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 86.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 86.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 86.57
            },
            {
              "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": 79.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 86.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 86.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 86.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 87.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 86.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90.65,
              "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": 95,
              "estimated_amount": 86.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90.65,
              "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": 49.86
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 87.02
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 28.1
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 77.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 87.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 86.57
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 87.02
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 90.65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 77.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 86.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 86.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 87.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 86.57
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 87.02
            }
          ]
        }
      ]
    },
    {
      "description": "BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION",
      "drug_information": {
        "unit": "5",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-1224",
          "type": "CDM"
        },
        {
          "code": "J0665",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 42.55,
          "discounted_cash": 27.66,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 40.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 40.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 42.55,
              "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": 96,
              "estimated_amount": 40.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.75,
              "estimated_amount": 9.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 40.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 40.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 40.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 42.55,
              "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": 96,
              "estimated_amount": 40.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 40.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 40.42
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 14.47
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 40.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.75,
              "estimated_amount": 9.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 40.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 42.55,
              "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": 37.44
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 40.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 40.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 40.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 40.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 42.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 14.47
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36.17
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 40.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 40.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 14.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 40.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 40.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 41.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 40.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 42.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.19
            },
            {
              "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": 42.55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.75,
              "estimated_amount": 9.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36.17
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 14.47
            },
            {
              "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": 27.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 40.59
            },
            {
              "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": 95.4,
              "estimated_amount": 40.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 40.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 40.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 42.55,
              "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": 23.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 40.42
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36.17
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.85,
              "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": 95.4,
              "estimated_amount": 40.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 40.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 41.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.51,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 41.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 42.55,
              "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": 42.55,
              "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": 36.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 41.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 41.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 40.42
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 40.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.75,
              "estimated_amount": 9.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 40.59
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 42.55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 40.42
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 14.47
            },
            {
              "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": 42.55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 40.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 40.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 40.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 40.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 42.55,
              "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": 67.4,
              "estimated_amount": 28.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 41.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 42.55,
              "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": 96,
              "estimated_amount": 40.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 40.42
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 40.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 40.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 40.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 42.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.32,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 40.42
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 40.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 40.42
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 40.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 41.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 40.64
            },
            {
              "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": 42.55,
              "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": 42.55,
              "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": 42.55,
              "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": 42.55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 40.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 42.55,
              "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": 42.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 42.55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 40.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 40.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 40.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 42.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 23.4
            },
            {
              "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": 42.55,
              "additional_payer_notes": "OUTPATIENT"
            }
          ],
          "minimum": 3.51,
          "maximum": 9.75
        }
      ]
    },
    {
      "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": 70.3,
          "discounted_cash": 45.69,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 67.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 67.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 67.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 67.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 67.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 70.3,
              "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": 70.3,
              "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": 95,
              "estimated_amount": 66.79
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.79
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.79,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.79
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 70.3,
              "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": 95.4,
              "estimated_amount": 67.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 67.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 70.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.79
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 70.3,
              "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": 70.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 38.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 67.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 67.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 70.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.79
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.49
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 70.3,
              "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": 70.3,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 67.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 67.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 70.3,
              "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": 61.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 68.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 38.67
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 23.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.79
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 67.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 70.3,
              "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": 70.3,
              "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": 95,
              "estimated_amount": 66.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.79
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 23.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 67.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 67.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 67.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 67.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 70.3,
              "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": 70.3,
              "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": 70.3,
              "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": 67.4,
              "estimated_amount": 47.38
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.79
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 67.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 67.14
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.79,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.79
            },
            {
              "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": 70.3,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 38.67
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 23.9
            },
            {
              "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": 45.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 67.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 67.07
            },
            {
              "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": 70.3,
              "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": 95,
              "estimated_amount": 66.79
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.79
            },
            {
              "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": 70.3,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 67.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 67.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 70.3,
              "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": 70.3,
              "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": 96,
              "estimated_amount": 67.49
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 67.84
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 38.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 68.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.79
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.76
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.49
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.79
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.79
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 23.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 67.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 67.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 70.3,
              "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": 70.3,
              "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": 95.4,
              "estimated_amount": 67.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 70.3,
              "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": 95,
              "estimated_amount": 66.79
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 23.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 67.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 67.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 67.14
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.49
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 68.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.79
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.79,
              "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": 95.4,
              "estimated_amount": 67.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 67.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 67.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 70.3,
              "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": 59.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 68.75
            },
            {
              "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": 38.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 38.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 66.79
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 21.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 67.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 67.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 67.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 38.67
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 67.49
            }
          ]
        }
      ]
    },
    {
      "description": "DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK",
      "drug_information": {
        "unit": "100",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-128040",
          "type": "CDM"
        },
        {
          "code": "25000049",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 75.55,
          "discounted_cash": 49.11,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 72.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 72.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 72.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 72.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 71.47
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 72.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 75.55
            },
            {
              "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": 41.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 25.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 71.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 71.47
            },
            {
              "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": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 71.77
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 71.77
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 23.42
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 25.69
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 71.77
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 72.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 72.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 72.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 71.47
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 23.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 72.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 71.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 71.77
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.55
            },
            {
              "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": "HUMANA [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": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 72.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 72.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 72.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 71.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 71.47
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 23.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 73.89
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 72.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 72.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 72.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 72.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 72.15
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 50.92
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 71.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 72.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 72.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 72.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 72.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 72.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 71.47
            },
            {
              "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": 66.48
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 71.77
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 71.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 73.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 73.89
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 25.69
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 71.77
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 23.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 71.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 72.07
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 72.53
            },
            {
              "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": 95.4,
              "estimated_amount": 72.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 72.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 72.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 71.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 71.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 71.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 71.77
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 25.69
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 23.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 71.77
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 23.42
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 71.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 72.15
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 23.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 23.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 72.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 71.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 71.47
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 72.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 72.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 72.07
            },
            {
              "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": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 72.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 72.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 71.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 71.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 72.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 72.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 71.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 71.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 72.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 72.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 72.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 71.47
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 72.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 72.53
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 23.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 73.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 71.77
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 25.69
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 23.42
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.22
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 72.53
            }
          ]
        }
      ]
    },
    {
      "description": "METHYL SALICYLATE 15 %-MENTHOL 10 % TOPICAL CREAM",
      "drug_information": {
        "unit": "28",
        "type": "GR"
      },
      "code_information": [
        {
          "code": "RX-128535",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.2,
          "discounted_cash": 0.78,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.15
            },
            {
              "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": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.15
            },
            {
              "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": 1.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "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": 1.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.14
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 97.8,
              "estimated_amount": 1.17
            },
            {
              "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": "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1.14
            },
            {
              "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": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.15
            },
            {
              "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": 95.4,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.14
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "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": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "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": 95,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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": 95,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 95.4,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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": 97.8,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 1.14
            },
            {
              "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": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 1.15
            }
          ]
        }
      ]
    },
    {
      "description": "SODIUM PHOSPHATES 9.5 GRAM-3.5 GRAM/59 ML ENEMA",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-128760",
          "type": "CDM"
        },
        {
          "code": "25000049",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8.55,
          "discounted_cash": 5.56,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8.09
            },
            {
              "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": 7.52
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.21
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 95.4,
              "estimated_amount": 8.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.17
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.65
            },
            {
              "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": 95.4,
              "estimated_amount": 8.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.21
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.17
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 5.76
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.12
            },
            {
              "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": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.12
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95,
              "estimated_amount": 8.12
            },
            {
              "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": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8.09
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.12
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.36
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.12
            },
            {
              "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": "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": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.21
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.21
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.17
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.36
            },
            {
              "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 MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.65
            }
          ]
        }
      ]
    },
    {
      "description": "WHITE PETROLATUM-MINERAL OIL 83 %-15 % EYE OINTMENT",
      "drug_information": {
        "unit": "3.5",
        "type": "GR"
      },
      "code_information": [
        {
          "code": "RX-129417",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.4,
          "discounted_cash": 2.21,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.33
            },
            {
              "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": 1.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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": 95.4,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 95.4,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.05
            },
            {
              "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": 2.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 2.89
            },
            {
              "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": 2.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 67.4,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.23
            },
            {
              "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": 95.4,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 2.89
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 97.8,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 3.26
            }
          ]
        }
      ]
    },
    {
      "description": "DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP",
      "drug_information": {
        "unit": ".5",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-129648",
          "type": "CDM"
        },
        {
          "code": "90700",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 140.35,
          "discounted_cash": 91.23,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 135.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 135.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 140.35,
              "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": 95,
              "estimated_amount": 133.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 77.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 133.33
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.51
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.51
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 134.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 140.35,
              "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": 67.4,
              "estimated_amount": 94.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 133.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 133.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 187.2,
              "estimated_amount": 187.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 47.72
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 119.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 47.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.89
            },
            {
              "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": 95.4,
              "estimated_amount": 133.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 140.35,
              "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": 140.35,
              "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": 140.35,
              "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": 95.4,
              "estimated_amount": 133.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 135.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 134.03
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 187.2,
              "estimated_amount": 187.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.51
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 134.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 135.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 135.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 134.03
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 133.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 133.33
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 140.35,
              "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": 140.35,
              "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": 95.4,
              "estimated_amount": 133.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.89
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 47.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 77.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 134.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 140.35,
              "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": 140.35,
              "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": 77.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 133.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 133.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 133.33
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 47.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.89
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 134.74
            },
            {
              "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": 123.51
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 134.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 140.35,
              "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": 140.35,
              "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": 140.35,
              "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": 95,
              "estimated_amount": 133.33
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 119.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.51
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 133.33
            },
            {
              "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": 77.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 134.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 134.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 77.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 135.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 187.2,
              "estimated_amount": 187.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.39,
              "estimated_amount": 67.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 135.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 140.35,
              "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": 140.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.51
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 47.72
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 133.33
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 119.3
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 134.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 134.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 134.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 140.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.51
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 134.74
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 119.3
            },
            {
              "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": 91.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 133.33
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 134.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 140.35,
              "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": 95,
              "estimated_amount": 133.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 134.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 140.35,
              "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": 96,
              "estimated_amount": 134.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 187.2,
              "estimated_amount": 187.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 77.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 119.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.89
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 134.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 77.19
            }
          ],
          "minimum": 67.39,
          "maximum": 187.2
        }
      ]
    },
    {
      "description": "NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN DEXTROSE 5 % IV",
      "drug_information": {
        "unit": "250",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-130387",
          "type": "CDM"
        },
        {
          "code": "J3490",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 139.45,
          "discounted_cash": 90.64,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 133.17
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.23
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 93.99
            },
            {
              "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": 139.45,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 139.45,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 76.7
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 132.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 47.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 132.48
            },
            {
              "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": 139.45,
              "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": 139.45,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 134.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 139.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.23
            },
            {
              "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": 122.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 133.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 133.17
            },
            {
              "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": 139.45,
              "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": 95,
              "estimated_amount": 132.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 47.41
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 133.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 76.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 132.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 134.57
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 139.45,
              "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": 76.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 132.48
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.23
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 133.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 134.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 139.45,
              "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": 139.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.23
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 118.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 134.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 133.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 133.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 139.45,
              "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": 139.45,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 132.48
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 132.48
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.23,
              "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": 76.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 47.41
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 132.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 139.45,
              "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": 95,
              "estimated_amount": 132.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 132.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 132.48
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.23
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 118.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 139.45,
              "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": 95.5,
              "estimated_amount": 133.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 76.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 139.45,
              "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": 76.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 132.48
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 133.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 134.57
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.23
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.23,
              "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": 95.4,
              "estimated_amount": 133.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 133.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 139.45,
              "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": 139.45,
              "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": 96,
              "estimated_amount": 133.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 139.45,
              "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": 139.45,
              "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": 139.45,
              "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": 95,
              "estimated_amount": 132.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 139.45,
              "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": 139.45,
              "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": 96,
              "estimated_amount": 133.87
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.23
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 118.53
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 47.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 139.45,
              "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": 118.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 134.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 133.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 133.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 139.45,
              "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": 139.45,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 133.04
            },
            {
              "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": 95.4,
              "estimated_amount": 133.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 133.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 139.45,
              "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": 139.45,
              "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": 96,
              "estimated_amount": 133.87
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 133.87
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 132.48
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 134.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 139.45,
              "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": 139.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.23,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 118.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 76.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 118.53
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 47.41
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 43.23
            },
            {
              "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": 90.64
            }
          ]
        }
      ]
    },
    {
      "description": "VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-13073",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.5,
          "discounted_cash": 3.57,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "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": 3.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.38
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 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": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 96.5,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.28
            },
            {
              "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": 4.84
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "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": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.28
            },
            {
              "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": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.38
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 4.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "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": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 96.5,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "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": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "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": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "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": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.87
            },
            {
              "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": 3.58
            }
          ]
        }
      ]
    },
    {
      "description": "METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION",
      "drug_information": {
        "unit": "1",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-130755",
          "type": "CDM"
        },
        {
          "code": "J2919",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 62.95,
          "discounted_cash": 40.92,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 60.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 62.95,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.51
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.71,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 60.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 62.95,
              "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": 62.95,
              "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": 62.95,
              "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": 62.95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.43
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 59.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 59.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 60.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 60.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 62.95,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 113.36,
              "estimated_amount": 113.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 34.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 59.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 59.8
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 20.49,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.51
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.43
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 60.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 62.95,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.51
            },
            {
              "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": 62.95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 60.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 60.12
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 62.95,
              "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": 62.95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 60.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 34.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 34.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 59.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 21.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 21.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 59.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 113.36,
              "estimated_amount": 113.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 59.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 59.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 60.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 60.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 60.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 62.95,
              "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": 62.95,
              "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": 62.95,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 34.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 59.8
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 21.4
            },
            {
              "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": 62.95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 62.95,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.51
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 59.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 60.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 60.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 60.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.43
            },
            {
              "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": 55.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 59.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 34.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 62.95,
              "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": 53.51
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 20.49,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 21.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60.05
            },
            {
              "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": 95.4,
              "estimated_amount": 60.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 113.36,
              "estimated_amount": 113.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 40.81,
              "estimated_amount": 40.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 62.95,
              "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": 67.4,
              "estimated_amount": 42.43
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 60.43
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 21.4
            },
            {
              "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": 40.92
            },
            {
              "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": 62.95,
              "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": 95.4,
              "estimated_amount": 60.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 60.75
            },
            {
              "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": 62.95,
              "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": 62.95,
              "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": 95,
              "estimated_amount": 59.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.51
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53.51
            },
            {
              "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": 34.62
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 59.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 60.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 62.95,
              "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": 62.95,
              "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": 96,
              "estimated_amount": 60.43
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 53.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 34.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 60.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 60.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 62.95,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.51
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 59.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 113.36,
              "estimated_amount": 113.36
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 19.51
            }
          ],
          "minimum": 40.81,
          "maximum": 113.36
        }
      ]
    },
    {
      "description": "PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE",
      "drug_information": {
        "unit": "1",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-131067",
          "type": "CDM"
        },
        {
          "code": "J7999",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 35.45,
          "discounted_cash": 23.04,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 33.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 33.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 33.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 33.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 34.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 33.68
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 33.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.45,
              "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": 95,
              "estimated_amount": 33.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.13
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.05
            },
            {
              "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": 23.04
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 34.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 33.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 33.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 33.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 33.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 34.03
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 33.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 33.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 33.68
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.99,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 34.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.5
            },
            {
              "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": 19.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.99
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.99
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35.45,
              "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": 95.4,
              "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": 96.5,
              "estimated_amount": 34.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 33.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 33.85
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.99,
              "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": 97.8,
              "estimated_amount": 34.67
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 33.68
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 33.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.45,
              "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": 35.45,
              "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": 95,
              "estimated_amount": 33.68
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.99
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 33.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 33.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.45,
              "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": 19.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 33.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34.21
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.99
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 33.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 33.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 33.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 33.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 33.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.45,
              "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": 35.45,
              "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": 35.45,
              "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": 95,
              "estimated_amount": 33.68
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 34.03
            },
            {
              "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": 35.45,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 34.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.5
            },
            {
              "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": 35.45,
              "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": 95.4,
              "estimated_amount": 33.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 33.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 33.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34.21
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.99
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35.45,
              "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": 30.13
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.99,
              "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": 35.45,
              "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": 35.45,
              "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": 35.45,
              "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": 35.45,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 34.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 33.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 33.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 35.45
            },
            {
              "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": 35.45,
              "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": 35.45,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 33.68
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 33.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 34.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.45,
              "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": 67.4,
              "estimated_amount": 23.89
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 34.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 33.68
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 33.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.45,
              "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": 96,
              "estimated_amount": 34.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 10.99
            },
            {
              "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": 31.2
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 33.68
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 33.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 33.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.45,
              "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": 35.45,
              "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": 95,
              "estimated_amount": 33.68
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.45,
              "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": 96,
              "estimated_amount": 34.03
            }
          ]
        }
      ]
    },
    {
      "description": "VALACYCLOVIR 500 MG TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-13133",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8.45,
          "discounted_cash": 5.49,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "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": 95.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 7.99
            },
            {
              "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": 7.44
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.26
            },
            {
              "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": 4.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 7.18
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.11
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.11
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.03
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 7.18
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.11
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "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": 97.8,
              "estimated_amount": 8.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.07
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 5.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.03
            },
            {
              "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": 5.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 8.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.03
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.07
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.03
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.18
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 7.18
            }
          ]
        }
      ]
    },
    {
      "description": "IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN",
      "drug_information": {
        "unit": "200",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-131339",
          "type": "CDM"
        },
        {
          "code": "J1561",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 9343,
          "discounted_cash": 6072.95,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8913.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8913.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8922.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8922.57
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8969.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8969.28
            },
            {
              "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": 9343,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8875.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8875.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9343,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4575.17,
              "estimated_amount": 4575.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8875.85
            },
            {
              "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": 9343,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12708.8,
              "estimated_amount": 12708.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5138.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8969.28
            },
            {
              "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": 95.4,
              "estimated_amount": 8913.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9016
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 8221.84
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8875.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9016
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9343,
              "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": 5138.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7941.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7941.55
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2896.33,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12708.8,
              "estimated_amount": 12708.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8875.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8922.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8875.85
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3176.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8913.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9343,
              "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": 9343,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8969.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8913.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9343,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2896.33
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8875.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5138.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8875.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12708.8,
              "estimated_amount": 12708.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3176.62
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7941.55
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2896.33,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9016
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9016
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2896.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8875.85
            },
            {
              "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": 6072.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8913.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8913.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9343,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8913.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9343,
              "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": 95,
              "estimated_amount": 8875.85
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3176.62
            },
            {
              "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": 9343,
              "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": 95,
              "estimated_amount": 8875.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2896.33
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3176.62
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7941.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2896.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8913.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8913.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9016
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9016
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8922.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9343,
              "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": 9343,
              "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": 9343,
              "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": 9343,
              "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": 9343,
              "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": 9343,
              "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": 5138.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2896.33
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8969.28
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 8969.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8913.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 9016
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8922.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8922.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8913.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8922.57
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 2896.33,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8875.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8913.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8913.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8913.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8922.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9343,
              "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": 9343,
              "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": 96,
              "estimated_amount": 8969.28
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7941.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2896.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12708.8,
              "estimated_amount": 12708.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5138.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8875.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2896.33
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 3176.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8913.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8922.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9343,
              "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": 9343,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8913.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 8913.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 8922.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9343,
              "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": 67.4,
              "estimated_amount": 6297.18
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 9343,
              "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": 5138.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2896.33
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 8875.85
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2896.33
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 2896.33
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7941.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5138.65
            },
            {
              "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": 9343,
              "additional_payer_notes": "OUTPATIENT"
            }
          ],
          "minimum": 4575.17,
          "maximum": 12708.8
        }
      ]
    },
    {
      "description": "LEUPROLIDE 7.5 MG INTRAMUSCULAR SYRINGE KIT",
      "drug_information": {
        "unit": "7.5",
        "type": "ME"
      },
      "code_information": [
        {
          "code": "RX-131616",
          "type": "CDM"
        },
        {
          "code": "J9217",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 765.7,
          "discounted_cash": 497.7,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 730.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 730.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 731.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 765.7,
              "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": 765.7,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 727.42
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 260.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 765.7,
              "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": 96,
              "estimated_amount": 735.07
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 735.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 727.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1206.79,
              "estimated_amount": 1206.79
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 237.37
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 260.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 260.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 237.37
            },
            {
              "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": 765.7,
              "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": 96.5,
              "estimated_amount": 738.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 731.24
            },
            {
              "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": 765.7,
              "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": 95.4,
              "estimated_amount": 730.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 738.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 765.7,
              "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": 765.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 237.37
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 735.07
            },
            {
              "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": 673.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 421.14
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 735.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 765.7,
              "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": 95,
              "estimated_amount": 727.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 727.42
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 650.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 237.37,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 237.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 730.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 738.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 731.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 765.7,
              "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": 765.7,
              "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": 765.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 237.37,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 727.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 730.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 738.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 731.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 731.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 765.7,
              "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": 765.7,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 237.37
            },
            {
              "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": 497.71
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 765.7,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1206.79,
              "estimated_amount": 1206.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1206.79,
              "estimated_amount": 1206.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 421.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 421.14
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 727.42
            },
            {
              "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": 765.7,
              "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": 95.4,
              "estimated_amount": 730.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 730.48
            },
            {
              "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": 95.4,
              "estimated_amount": 730.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 765.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 237.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 421.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 765.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 735.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 730.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 731.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 731.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 731.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 727.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 727.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 237.37
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 237.37
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 650.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 727.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 730.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 730.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 730.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 730.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 730.48
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 516.08
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 650.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 735.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 730.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 765.7,
              "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": 650.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 730.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 765.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 237.37
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 727.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 730.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 730.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 738.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 765.7,
              "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": 765.7,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 421.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 237.37
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 237.37,
              "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": 95,
              "estimated_amount": 727.42
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 650.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 731.24
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 727.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 738.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 731.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 765.7,
              "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": 765.7,
              "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": 650.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 434.44,
              "estimated_amount": 434.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1206.79,
              "estimated_amount": 1206.79
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 260.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 260.34
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 735.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 738.9
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 727.42
            },
            {
              "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": 421.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 421.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 727.42
            }
          ],
          "minimum": 434.44,
          "maximum": 1206.79
        }
      ]
    },
    {
      "description": "VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-13184",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.35,
          "discounted_cash": 3.48,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 3.61
            },
            {
              "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": 3.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 5.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.14
            },
            {
              "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": 95.4,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.11
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.14
            },
            {
              "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": 4.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 2.94
            },
            {
              "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": 2.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.11
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 5.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
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              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
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              "standard_charge_percentage": 31,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "UHC [625]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "HEALTHLINK [443]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 5.14
            }
          ]
        }
      ]
    },
    {
      "description": "LAMOTRIGINE 100 MG TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-13982",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.05,
          "discounted_cash": 3.28,
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            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "MMO [485]",
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              "estimated_amount": 4.82
            },
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              "payer_name": "UHC [625]",
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              "estimated_amount": 4.78
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
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              "standard_charge_percentage": 34,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.57
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
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              "standard_charge_percentage": 100,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "ANTHEM [335]",
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              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
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              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.87
            },
            {
              "payer_name": "MMO [485]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
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              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
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              "standard_charge_percentage": 95,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
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              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.82
            },
            {
              "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": 95.4,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.57
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.78
            },
            {
              "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": 4.44
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 4.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.57
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.57
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.57
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 3.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 3.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 2.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.87
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.57
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.5,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.57
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.85
            }
          ]
        }
      ]
    },
    {
      "description": "CHERRY FLAVOR (BULK) ORAL LIQUID",
      "drug_information": {
        "unit": "480",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-1562",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 39.3,
          "discounted_cash": 25.54,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 37.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 37.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 37.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 37.18
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 33.41
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 12.18
            },
            {
              "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": 25.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 37.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 37.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 37.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 37.18
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 12.18
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 33.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 38.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 37.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 12.18
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 12.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 37.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 37.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 37.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 37.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 37.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 37.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 37.18
            },
            {
              "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": 21.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 21.62
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 12.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 38.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 37.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 37.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 37.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 13.36
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 37.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 37.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 37.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 37.53
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 12.18
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 37.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 37.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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": 34.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 39.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 38.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 37.34
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 33.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 37.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 37.49
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 12.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 37.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 37.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 37.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 37.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 37.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 37.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 37.18
            },
            {
              "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": 95.4,
              "estimated_amount": 37.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 37.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 21.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 21.62
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 37.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 13.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 38.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 37.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 37.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 37.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 37.53
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 37.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 21.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 21.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 37.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 12.18
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 13.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 37.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 37.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 37.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 37.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 37.18
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 26.49
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 37.73
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 12.18
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 33.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 37.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 37.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 37.18
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 37.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 37.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 37.34
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 37.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 37.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 37.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 37.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 21.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 37.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 12.18
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 13.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 37.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 37.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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": 96,
              "estimated_amount": 37.73
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 37.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 37.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 37.18
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 37.73
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 37.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 13.36
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 33.41
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 37.73
            }
          ]
        }
      ]
    },
    {
      "description": "AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION",
      "drug_information": {
        "unit": "2.5",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-15797",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 16.7,
          "discounted_cash": 10.85,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 15.8
            },
            {
              "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": 14.7
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 15.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 16.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 9.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 16.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 15.8
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 11.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 15.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.2
            },
            {
              "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": 10.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 16.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.87
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 15.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 15.8
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.87
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 9.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.87
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 15.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 15.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.87
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 16.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 15.8
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.87
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 16.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 15.8
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 15.8
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.18
            },
            {
              "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": 9.19
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.18
            },
            {
              "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": 95.4,
              "estimated_amount": 15.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 15.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 15.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 16.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 16.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 15.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 15.8
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 15.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 15.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 16.03
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 16.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.68
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.68
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 16.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.93
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 16.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.87
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.68
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 16.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 15.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 16.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 5.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 15.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 15.87
            }
          ]
        }
      ]
    },
    {
      "description": "DAPAGLIFLOZIN PROPANEDIOL 10 MG TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-167305",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 50.65,
          "discounted_cash": 32.92,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 48.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 48.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 47.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 47.91
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 48.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 49.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 48.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 15.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 48.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 48.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 47.91
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 48.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 48.12
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 48.62
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 48.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 48.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
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              "standard_charge_percentage": 95.5,
              "estimated_amount": 48.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 47.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 47.91
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 48.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 48.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 48.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 48.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 47.91
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 15.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 15.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 15.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 48.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.05
            },
            {
              "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": 32.92
            },
            {
              "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": 95.4,
              "estimated_amount": 48.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 48.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 47.91
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 15.7
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 34.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 49.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 48.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 48.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 48.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 47.91
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 48.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 48.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 48.37
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 48.62
            },
            {
              "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": 44.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 49.54
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 15.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 49.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 27.86
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 48.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 48.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 48.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 48.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 47.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 27.86
            },
            {
              "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": 27.86
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 48.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 48.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 48.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 48.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 48.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 47.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 48.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 50.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 48.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 48.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 48.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 48.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 47.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 47.91
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 15.7
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 48.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 48.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 15.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 48.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 47.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 47.91
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 48.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 48.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 27.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 48.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 48.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 48.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 48.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 47.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 48.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 27.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 48.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 48.32
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 15.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 47.91
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 15.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 48.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 48.32
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 48.12
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 27.86
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 47.91
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 48.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 27.86
            }
          ]
        }
      ]
    },
    {
      "description": "GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION",
      "drug_information": {
        "unit": "26.3",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-17122",
          "type": "CDM"
        },
        {
          "code": "J9201",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 145.8,
          "discounted_cash": 94.77,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 139.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 140.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 139.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 145.8,
              "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": 80.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 80.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 45.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 138.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 139.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 139.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 139.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 145.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 45.2
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 98.27
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 45.2,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 139.97
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 123.93
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 139.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 138.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 138.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 45.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 49.57
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 145.8,
              "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": 145.8,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 139.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 145.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 45.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 118.63,
              "estimated_amount": 118.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 138.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 138.51
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 45.2
            },
            {
              "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": 145.8,
              "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": 123.93
            },
            {
              "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": 95.4,
              "estimated_amount": 139.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 139.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 145.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 45.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 80.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 138.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 45.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 139.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 139.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 140.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 139.24
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 138.51
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 45.2,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 139.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 139.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 139.09
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 139.97
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 145.8,
              "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": 145.8,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 138.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 80.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 138.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 138.51
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 123.93
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 49.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 139.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 139.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 140.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 139.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 145.8,
              "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": 95,
              "estimated_amount": 138.51
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 123.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 139.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 140.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 139.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 139.24
            },
            {
              "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": 145.8,
              "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": 80.19
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 45.2
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 139.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 118.63,
              "estimated_amount": 118.63
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 49.57
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 45.2,
              "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": 95.4,
              "estimated_amount": 139.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 145.8,
              "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": 145.8,
              "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": 145.8,
              "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": 145.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 45.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 140.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 140.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 145.8,
              "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": 145.8,
              "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": 145.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 45.2
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 138.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 139.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 139.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 42.71,
              "estimated_amount": 42.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 118.63,
              "estimated_amount": 118.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 139.24
            },
            {
              "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": 94.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 140.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 145.8,
              "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": 123.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 118.63,
              "estimated_amount": 118.63
            },
            {
              "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": 80.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 138.51
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 123.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 139.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 139.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 139.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 145.8,
              "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": 96,
              "estimated_amount": 139.97
            },
            {
              "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": 128.3
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 138.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 139.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 139.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 145.8,
              "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": 145.8,
              "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": 80.19
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 49.57
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 49.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 145.8,
              "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": 96,
              "estimated_amount": 139.97
            }
          ],
          "minimum": 42.71,
          "maximum": 118.63
        }
      ]
    },
    {
      "description": "MEROPENEM 500 MG INTRAVENOUS SOLUTION",
      "drug_information": {
        "unit": "10",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-17379",
          "type": "CDM"
        },
        {
          "code": "J2185",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 46.4,
          "discounted_cash": 30.16,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46.4,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.38,
              "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": 39.44
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.68,
              "estimated_amount": 12.68
            },
            {
              "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": 25.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44.08
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46.4,
              "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": 46.4,
              "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": 46.4,
              "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": 95.4,
              "estimated_amount": 44.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 44.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46.4,
              "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": 95,
              "estimated_amount": 44.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46.4,
              "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": 46.4,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 44.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46.4,
              "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": 96,
              "estimated_amount": 44.54
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46.4,
              "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": 46.4,
              "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": 96,
              "estimated_amount": 44.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.38
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15.78
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44.08
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 44.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46.4,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.56,
              "estimated_amount": 4.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25.52
            },
            {
              "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": 46.4,
              "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": 95.4,
              "estimated_amount": 44.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46.4,
              "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": 46.4,
              "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": 67.4,
              "estimated_amount": 31.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 46.4,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.38
            },
            {
              "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": 46.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.68,
              "estimated_amount": 12.68
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.54
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.68,
              "estimated_amount": 12.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.68,
              "estimated_amount": 12.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44.08
            },
            {
              "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": 46.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "estimated_amount": 44.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46.4,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.38
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44.08
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39.44
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39.44
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.38
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.38,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.38
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.54
            },
            {
              "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": 46.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46.4,
              "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": 46.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.54
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.38,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 44.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 44.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 44.54
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.38
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39.44
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15.78
            },
            {
              "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": 30.16
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.38
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15.78
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 44.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 14.38
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 44.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 44.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 44.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46.4,
              "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": 40.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 44.08
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15.78
            },
            {
              "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": 46.4,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 15.78
            }
          ],
          "minimum": 4.56,
          "maximum": 12.68
        }
      ]
    },
    {
      "description": "MIRTAZAPINE 15 MG TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-17466",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.05,
          "discounted_cash": 3.28,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.57
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.57
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.87
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "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": 95.4,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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": 95,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.57
            },
            {
              "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": 4.44
            },
            {
              "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": 95.4,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 67.4,
              "estimated_amount": 3.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 2.78
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.57
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95.4,
              "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": 95.5,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.57
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.78
            },
            {
              "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": 2.78
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "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": 3.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 95,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.78
            }
          ]
        }
      ]
    },
    {
      "description": "MORPHINE 4 MG/ML INTRAVENOUS SOLUTION",
      "drug_information": {
        "unit": "1",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-175213",
          "type": "CDM"
        },
        {
          "code": "J2270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 43.9,
          "discounted_cash": 28.53,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 41.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 41.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 41.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 41.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 41.71
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.61
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 41.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 41.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 43.9,
              "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": 43.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.61
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 41.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.99,
              "estimated_amount": 28.99
            },
            {
              "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": 24.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 41.71
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.99,
              "estimated_amount": 28.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 24.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 41.71
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 14.93
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 41.71
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 37.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 41.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 41.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 42.14
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 37.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 41.88
            },
            {
              "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": 95.4,
              "estimated_amount": 41.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 42.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 43.9,
              "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": 95,
              "estimated_amount": 41.71
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 14.93
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.61,
              "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": 43.9,
              "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": 24.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 14.93
            },
            {
              "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": 43.9,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 42.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 41.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 43.9,
              "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": 43.9,
              "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": 96,
              "estimated_amount": 42.14
            },
            {
              "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": 38.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.99,
              "estimated_amount": 28.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 24.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 41.71
            },
            {
              "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": 28.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 41.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 41.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 42.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 42.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 43.9,
              "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": 43.9,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 41.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 41.92
            },
            {
              "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": 43.9,
              "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": 37.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.44,
              "estimated_amount": 10.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 41.71
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.61
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.61
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 42.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 41.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 41.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 42.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 43.9,
              "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": 43.9,
              "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": 96,
              "estimated_amount": 42.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 43.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 14.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.99,
              "estimated_amount": 28.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 24.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 42.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 41.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 41.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 42.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 43.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 42.14
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 14.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 41.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 43.9,
              "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": 43.9,
              "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": 95,
              "estimated_amount": 41.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 41.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 41.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 43.9,
              "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": 43.9,
              "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": 43.9,
              "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": 43.9,
              "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": 43.9,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 41.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 41.71
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 42.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 41.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 41.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 41.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 41.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 41.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 41.92
            },
            {
              "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": 43.9,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.61
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 41.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 42.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 41.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 43.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.61
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.61,
              "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": 24.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 24.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.61
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 37.32
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 29.59
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 37.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 41.71
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 37.32
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 13.61,
              "additional_payer_notes": "OUTPATIENT"
            }
          ],
          "minimum": 10.44,
          "maximum": 28.99
        }
      ]
    },
    {
      "description": "SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION",
      "drug_information": {
        "unit": "2",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-176250",
          "type": "CDM"
        },
        {
          "code": "25000049",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 635.05,
          "discounted_cash": 412.78,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 605.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 612.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 600.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 600.76
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 196.87
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 603.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 621.08
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 196.87
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 609.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 606.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 606.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 600.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 600.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 539.79
            },
            {
              "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": 412.78
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 196.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 605.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 606.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 600.76
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 196.87
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 539.79
            },
            {
              "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": 95.4,
              "estimated_amount": 605.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 605.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 600.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 603.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 621.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 605.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 605.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 600.76
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 428.02
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 603.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 603.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 215.92
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 609.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 600.76
            },
            {
              "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": 558.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 605.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 605.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 612.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 612.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 606.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 600.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 621.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 603.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 196.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 349.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 603.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 603.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 196.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 612.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 606.47
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 609.65
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 539.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 349.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 349.28
            },
            {
              "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": 349.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 605.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 605.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 612.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 605.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 612.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 600.76
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 603.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 621.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 603.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 196.87
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 603.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 603.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 196.87
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 215.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 605.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 605.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 612.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 606.47
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 215.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 606.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 600.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 635.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 349.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 605.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 606.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 600.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 600.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 600.76
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 196.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 349.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 603.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 215.92
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 539.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 605.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 600.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 609.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 349.28
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 539.79
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 609.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 605.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 605.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 606.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 600.76
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 196.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 606.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 600.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 609.65
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 609.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 215.92
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 603.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 605.84
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 603.3
            }
          ]
        }
      ]
    },
    {
      "description": "HYDROMORPHONE 0.5 MG/ML PCA HIGH RISK",
      "drug_information": {
        "unit": "30",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-176890",
          "type": "CDM"
        },
        {
          "code": "J1171",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 89.4,
          "discounted_cash": 58.11,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 85.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 85.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 85.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 84.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 49.17
            },
            {
              "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": 49.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 49.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 84.93
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 84.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 89.4,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 49.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 84.93
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 30.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.99
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 30.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 86.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 86.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 86.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 84.57
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 84.93
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 84.57
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 85.82
            },
            {
              "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": 89.4,
              "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": 95,
              "estimated_amount": 84.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 84.93
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.71
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 85.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 49.17
            },
            {
              "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": 89.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 84.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 84.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 89.4,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 30.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 84.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 85.38
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 85.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.71
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 60.26
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 84.93
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 85.82
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 89.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 49.17
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 30.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 86.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 84.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 84.93
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.71
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 85.82
            },
            {
              "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": 89.4,
              "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": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 84.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 84.57
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.99,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 85.38
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.71
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 85.82
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 84.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 84.93
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.71
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.99
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.99
            },
            {
              "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": 58.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 86.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 84.57
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.1,
              "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": 94.6,
              "estimated_amount": 84.57
            },
            {
              "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": 78.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 89.4,
              "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": 49.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 86.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 84.57
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.71
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.71
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.99
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 84.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 84.57
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 85.82
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 89.4,
              "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": 95,
              "estimated_amount": 84.93
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 30.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 84.93
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 85.29
            },
            {
              "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": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 85.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 85.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 84.57
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 89.4,
              "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": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 86.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 85.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 84.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 84.57
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.71
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 84.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 89.4,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 85.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 85.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 84.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 89.4,
              "additional_payer_notes": "SRD"
            }
          ]
        }
      ]
    },
    {
      "description": "HYDROMORPHONE 0.5 MG/ML PCA OPIOID TOLERANT",
      "drug_information": {
        "unit": "30",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-176891",
          "type": "CDM"
        },
        {
          "code": "J1171",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 89.4,
          "discounted_cash": 58.11,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 86.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 85.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 84.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 84.57
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 60.26
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 84.93
            },
            {
              "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": 49.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 84.93
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 84.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 84.57
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.71
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.99
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 89.4,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 86.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 85.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 85.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 85.38
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 85.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 84.57
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 84.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 89.4,
              "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": 96,
              "estimated_amount": 85.82
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.99
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 86.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 49.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 84.93
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 86.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 84.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 84.57
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 85.82
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 89.4,
              "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": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 86.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 84.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 84.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 84.57
            },
            {
              "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": 89.4,
              "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": 95,
              "estimated_amount": 84.93
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 30.4
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 30.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 85.82
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 85.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 49.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 84.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 84.93
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.71
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 84.57
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.99,
              "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": 49.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 84.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 84.93
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.71
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.71
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 84.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 85.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 85.38
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 30.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 84.93
            },
            {
              "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": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.99
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 89.4,
              "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": 89.4,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 84.93
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 30.4
            },
            {
              "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": 89.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 85.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 84.57
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.71
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 85.82
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 84.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 85.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 84.57
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 89.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 85.82
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.71
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 84.93
            },
            {
              "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": 89.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 86.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 84.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 84.57
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 49.17
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 30.4
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "standard_charge_percentage": 31,
              "estimated_amount": 29.1,
              "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": 58.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 89.4,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 84.57
            },
            {
              "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": 78.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 85.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 86.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 85.38
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 85.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 49.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 49.17
            },
            {
              "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": 89.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 84.57
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 27.71
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.99
            }
          ]
        }
      ]
    },
    {
      "description": "SODIUM POLYSTYRENE SULFONATE 15 GRAM-SORBITOL 20 GRAM/60 ML ORAL SUSP",
      "drug_information": {
        "unit": "60",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-179041",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 101.15,
          "discounted_cash": 65.75,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 96.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 96.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 96.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 97.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 95.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 95.69
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 97.1
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 96.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 98.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55.63
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 31.36
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 31.36
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 31.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 96.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 96.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 95.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 98.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55.63
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 96.09
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 34.39
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 34.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55.63
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 96.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 96.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 97.61
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 31.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 97.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 97.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 95.69
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 97.1
            },
            {
              "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": 55.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 96.09
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85.98
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 98.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 96.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 96.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 96.09
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 96.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 96.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 95.69
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 96.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55.63
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 31.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 96.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 96.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 95.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 95.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 95.69
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 31.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 95.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 95.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55.63
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 97.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 96.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 96.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 96.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 96.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 95.69
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 31.36
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 31.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 98.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 96.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 95.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 96.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 96.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 95.69
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 34.39
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 97.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 101.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 97.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 96.6
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 96.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 96.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 96.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 96.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 95.69
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 96.5
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 68.18
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 96.09
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 96.09
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 97.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 96.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 96.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 97.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 96.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 97.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 96.09
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 31.36
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 34.39
            },
            {
              "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": 65.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 96.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 97.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 96.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 96.6
            },
            {
              "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": 89.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 96.09
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 31.36
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 34.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 96.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 95.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 95.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 95.69
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 97.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55.63
            }
          ]
        }
      ]
    },
    {
      "description": "COLCHICINE 0.6 MG TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-1821",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 12.15,
          "discounted_cash": 7.9,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
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              "standard_charge_percentage": 94.6,
              "estimated_amount": 11.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
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              "standard_charge_percentage": 94.6,
              "estimated_amount": 11.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 11.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 11.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 11.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 12.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.33
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.68
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 11.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 11.49
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 96,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "BEECHSTREET [350]",
              "plan_name": "BEECH STREET (PPO)* [350200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "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": 10.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 11.49
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 11.49
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "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": 6.68
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 6.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 11.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 11.49
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 10.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.6
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 67.4,
              "estimated_amount": 8.19
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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": 97.8,
              "estimated_amount": 11.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.68
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 11.49
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 11.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 11.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 11.49
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "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": 6.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 11.6
            },
            {
              "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": 7.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 11.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 11.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 11.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 11.54
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 3.77
            },
            {
              "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": 95.4,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.33
            }
          ]
        }
      ]
    },
    {
      "description": "GABAPENTIN 300 MG CAPSULE",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-18308",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.95,
          "discounted_cash": 3.22,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "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": 95,
              "estimated_amount": 4.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.72
            },
            {
              "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": 2.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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": 96,
              "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": 97.8,
              "estimated_amount": 4.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 97.8,
              "estimated_amount": 4.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "estimated_amount": 4.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "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": 95,
              "estimated_amount": 4.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 34,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.5,
              "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": 95.5,
              "estimated_amount": 4.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "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": 95.5,
              "estimated_amount": 4.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 31,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95,
              "estimated_amount": 4.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "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": 3.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 95.4,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 96.5,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 94.6,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total bill